Active NPI
John Jurica, PH.D.
- Counseling Psychologist
- Fort Collins, CO
National Provider Identifier
1760854665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PSY.0005453
- Practice address
- 3555 Stanford Rd Ste 140
Fort Collins, CO 80525-4680 - Phone
- (970) 235-1159
- NPI assigned
- Oct 30, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PSY.0005453 | CO | Primary |
| Counseling Psychologist | 103TC1900X | 023198 | NY |
Addresses
Primary practice location
3555 Stanford Rd Ste 140
Fort Collins, CO 80525-4680
Mailing address
3555 Stanford Rd Ste 140
Fort Collins, CO 80525-4680
Phone (970) 235-1159
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 6, 2025 through Dec 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY.0005453 | CO | MD | Counseling Psychologist |
| 023198 | NY | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eureka Psychological Services PLLC | Counseling | Current | Accepting new patients |
Locations
3555 Stanford Rd
Ste 140
Fort Collins, CO 80525
Phone (720) 727-7154
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counseling Psychologist
- Fort Collins, CO
- NPI 1073383626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1760854665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3555 STANFORD RD STE 140",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805254680",
"telephone_number": "970-235-1159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3555 STANFORD RD STE 140",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805254680",
"telephone_number": "970-235-1159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURICA",
"first_name": "JOHN",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-30",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CO",
"license": "PSY.0005453",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NY",
"license": "023198",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.