JENNIFER LAXAGUE (NPI# 1679908917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679908917 |
| Entity Type | Individual |
| Full Name | JENNIFER LAXAGUE |
| Credential | LPC |
| Practice Address |
123 Aylesworth Hall Nw Colorado State University Fort Collins CO 80521 |
| Practice Telephone | 9704913901 |
| Mailing Telephone | 9708898181 |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2016-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
123 AYLESWORTH HALL NW COLORADO STATE UNIVERSITY |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013299585 | Lisa Michelle Heifner | Counselor | 123 Aylesworth Hall Nw, Fort Collins, CO 80523-8010 | 2011-09-12 |
| 1639528102 | Gilda Olivia Rios | Counselor | 123 Aylesworth Hall Nw, Department 8010, Fort Collins, CO 80523 | 2016-06-06 |
| 1992053136 | Canzi Wang | Student in an Organized Health Care Education/Training Program | 123 Aylesworth Hall Nw, Fort Collins, CO 80523-8010 | 2012-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386172799 | Seth Lundberg Cowden | Dentist | 1015 S Taft Hill Rd Ste K, Fort Collins, CO 80521 | 2017-05-30 |
| 1184174773 | Alison Butler | Counselor | 320 W. Olive St, Fort Collins, CO 80521 | 2016-10-07 |
| 1134675986 | Above and Beyond Therapy, LLC | Occupational Therapist | 305 W Magnolia St. Pmb #175, Fort Collins, CO 80521 | 2016-08-31 |
| 1053763722 | Jessie Charbonneau | Counselor | 123 Aylesworth Hall, Csuhn Counseling Center, Fort Collins, CO 80521 | 2016-07-06 |
| 1215308861 | Brittany Koehler | Specialist/Technologist | 3002 W. Elizabeth 24f, Fort Collins, CO 80521 | 2015-10-08 |
| 1932538972 | Jessica Miller | Social Worker | 123 Ayleswort Hall Nw, Fort Collins, CO 80521 | 2013-11-08 |
| 1255690715 | Simon Peter Ferraro Dove | Chiropractor | 1302 South Shields, #a1-3, Fort Collins, CO 80521 | 2012-05-03 |
| 1194903153 | Island Grove Regional Treatment Center | Substance Abuse Rehabilitation Facility | 212 W Mountain Avenue, Ft Collins, CO 80521 | 2008-02-01 |
| 1356535975 | Wendy Brumley Lee | Community Based Residential Treatment Facility, Mental Illness | 1644 S. College Avenue, Ft. Collins, CO 80521 | 2007-08-28 |
| 1184833832 | James J Reid LLC | Social Worker | 1220 University Ave, Ft Collins, CO 80521 | 2007-05-21 |
| Find all providers in zip 80521 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593076 | Taylor Ann Roberson | Counselor | 1531 Riverside Ave Unit B, Fort Collins, CO 80524-4389 | 2020-06-22 |
| 1720608128 | Nicholas Hemmerick Hunt | Counselor | 423 Whedbee St, Fort Collins, CO 80524-2933 | 2020-04-26 |
| 1073148557 | Alison Anne Biggs | Counselor | 204 Walnut St Ste D, Fort Collins, CO 80524-4441 | 2020-03-05 |
| 1275175945 | Mara Holloway | Counselor | 25 Old Town Sq Ste 250-j, Fort Collins, CO 80524-4455 | 2019-10-14 |
| 1699324582 | Courtney Brooke Woolsey | Counselor | 707 Colony Ct, Fort Collins, CO 80526-2708 | 2019-09-04 |
| 1134776081 | Sarah Critchfield | Counselor | 3110 Cockney St, Fort Collins, CO 80526-2309 | 2019-08-23 |
| 1609420249 | Emili Noel Pickenpaugh | Counselor | Colorado State University 151 W Lake Street, Fort Collins, CO 80523-0001 | 2019-07-31 |
| 1750843587 | Rob Neil Colbert | Counselor | 25 Old Town Sq Ste 250j, Fort Collins, CO 80524-4455 | 2019-04-01 |
| 1053878496 | Britany Wookey | Counselor | 4903 Northern Lights Dr Unit B, Fort Collins, CO 80528-4487 | 2019-02-21 |
| 1699249649 | Joel Samuel Chabrier | Counselor | 375 E Horsetooth Rd # 101, Fort Collins, CO 80525-3155 | 2019-01-13 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80521 |
Please comment or provide details below to improve the information on JENNIFER LAXAGUE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.