LORAINE JENNESS (NPI# 1871913533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871913533 |
Entity Type | Individual |
Full Name | LORAINE JENNESS |
Practice Address |
6890 Eagle Wing Dr Colorado Springs CO 80908-2702 |
Practice Telephone | 7196486836 |
Mailing Telephone | 7196486836 |
Enumeration Date | 2014-04-21 |
Last Update Date | 2014-04-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
3731 | CO | Behavioral Health & Social Service Providers |
Y | 103TC0700X |
Psychologist Specialization: Clinical |
3731 | CO | Behavioral Health & Social Service Providers |
N | 103TF0200X |
Psychologist Specialization: Forensic |
3731 | CO | Behavioral Health & Social Service Providers |
Street Address |
6890 EAGLE WING DR |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80908-2702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528577491 | Joseph Lewis Frey | Marriage & Family Therapist | 14085 Black Forest Rd, Colorado Springs, CO 80908 | 2017-09-23 |
1699047944 | Caleb James Vanwinkle | Specialist/Technologist | 6994 Sierra Meadows Dr., Colorado Springs, CO 80908 | 2012-02-02 |
1578843538 | Kevin David Dalling | Dentist | 10708 Echo Canyon Dr, Colorado Springs, CO 80908 | 2011-08-23 |
1093049801 | Naomi Leah Demasters | Licensed Practical Nurse | 4501 Briargate Pkwy., Colorado Springs Medical Office, Colorado Springs, CO 80908 | 2009-09-25 |
1710110903 | Brianne Marie Bean | Licensed Practical Nurse | 4501 Briargate Parkway, Colorado Springs Medical Office, Colorado Springs, CO 80908 | 2009-09-03 |
1609921535 | Falcon School District 49 | Local Education Agency (LEA) | 7545 Mohawk Road, Colorado Springs, CO 80908 | 2007-01-23 |
1891301800 | Fariba Brady | Registered Nurse | 11770 Bison Meadows Ct, Colorado Springs, CO 80908-1105 | 2020-09-16 |
1821540477 | Melinda L Hanson | Day Training, Developmentally Disabled Services | 20075 Thunder Rd E, Colorado Springs, CO 80908-1110 | 2016-10-31 |
1609386549 | Alternatives, L.L.C. | Respite Care | 20075 Thunder Rd E, Colorado Springs, CO 80908-1110 | 2017-10-05 |
1083073126 | Freedom Pathways, LLC | Day Training, Developmentally Disabled Services | 20021 Thunder Rd W, Colorado Springs, CO 80908-1112 | 2016-02-17 |
Find all providers in zip 80908 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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1316546609 | Heart Centered Counseling Inc | Psychologist | 5353 N Union Blvd, Colorado Springs, CO 80918-2065 | 2020-10-19 |
1508480856 | Ruth S. O'brien, Psyd Pllc | Psychologist | 6245 Silverado Trl, Colorado Springs, CO 80922-2915 | 2020-06-02 |
1962032664 | Viewpoints Psychotherapy Services, LLC | Psychologist | 615 N Nevada Ave Ste 4, Colorado Springs, CO 80903-1075 | 2020-01-22 |
1558844225 | Tracie A Nicoll | Psychologist | 1843 Austin Bluffs Pkwy Ste 102, Colorado Springs, CO 80918-7857 | 2018-09-10 |
1679084966 | Molly Maxfield | Psychologist | 4863 N Nevada Ave Ste 321, Colorado Springs, CO 80918-3951 | 2017-10-13 |
1073023974 | Cottonwood Creek Wellness Center | Psychologist | 3210 E. Woodmen Rd., 110, Colorado Springs, CO 80920 | 2017-10-05 |
1306360755 | James M Fletcher Phd, Inc | Psychologist | 2527 W Colorado Ave Ste 210, Colorado Springs, CO 80904-6028 | 2017-07-27 |
1013438001 | Roy Leon Hill | Psychologist | 1465 Kelly Johnson Blvd Ste 350, Colorado Springs, CO 80920-3983 | 2017-06-29 |
1013367069 | Sean Kelly | Psychologist | 2527 W Colorado Ave Ste 208, Colorado Springs, CO 80904-3075 | 2016-06-20 |
1497113336 | Louis Hoffman, Phd | Psychologist | 655 Southpointe Ct Ste 200, Colorado Springs, CO 80906-3859 | 2016-02-07 |
Find all providers in COLORADO SPRINGS |
City | COLORADO SPRINGS |
Zip Code | 80908 |
Please comment or provide details below to improve the information on LORAINE JENNESS.
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.