Melissa Maris Fountain Jennings, MA MCJ LPC LAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC4125 Issued in CO

Practice address

806 S Public Rd Ste 101
Lafayette, CO 80026-2198

Phone

(720) 335-4082

Fax

(720) 302-2671

NPI assigned

Mar 20, 2007

Last updated

Jan 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Melissa Maris Fountain Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pathwise Counseling and Skills Center

  • Professional Counselor
  • Lafayette, CO
  • NPI 1730613894
  NPD Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1942325170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "992 S. 4TH AVE.",
            "address_2": "SUITE 100, #149",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "80601",
            "telephone_number": "720-355-4082",
            "fax_number": "720-302-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 S PUBLIC RD STE 101",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262198",
            "telephone_number": "720-335-4082",
            "fax_number": "720-302-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "MELISSA",
        "middle_name": "MARIS FOUNTAIN",
        "name_prefix": "Ms.",
        "credential": "MA MCJ LPC LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD844",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC4125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "FOUNTAIN",
            "middle_name": "MARIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Asia Jaworowska, MA, LPCC
• Colleen Sue Jayne, RN
• Brianna Jecmen
• Jacy Katherine Jeffrey-Howe, CNM
• Sarah Jenkins, BA
• Eleanor R Jensen, DO
• Jessica Jensen, RDH
• Regan Nichole Jernigan, MD
• Brianna R Jimenez
• Tanya Jnglin

• Professional Counselor in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.