Organization Active NPI

Driftwood Springs Counseling, LLC

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1871487231
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DRIFTWOOD SPRINGS COUNSELING, LLC
Practice address
3555 Stanford Rd Ste 140
Fort Collins, CO 80525-4680
Phone
(720) 727-7154
NPI assigned
Jun 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jackelyn K Fritsch, MSW, LCSWNPI 1760998876
Title
Licensed Clinical Social Worker
Phone
(720) 727-7154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3555 Stanford Rd Ste 140
Fort Collins, CO 80525-4680

Mailing address

1719 Banyan Dr
Fort Collins, CO 80526-1010
Phone (720) 251-0287

Other practice location 1

1719 Banyan Dr
Fort Collins, CO 80526-1010
Phone (720) 727-7154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251014000459 CO Part B Supplier - Clinic/Group Practice 9931696044 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Collins, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1871487231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 BANYAN DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261010",
            "telephone_number": "720-251-0287"
        },
        {
            "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": "720-727-7154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1719 Banyan Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805261010",
            "country_code": "US",
            "telephone_number": "720-727-7154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DRIFTWOOD SPRINGS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "FRITSCH",
        "authorized_official_first_name": "JACKELYN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "720-727-7154",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.