1. Home
  2. Directory
  3. Colorado
  4. Springs
  5. Counselor
  6. NPI Profile

JENNIFER LYNN BAUTISTA
NPI 1053093674
Counselor - Professional in Colorado Springs, CO

Active since August 03, 2023PECOS Enrolled
5353 N UNION BLVD STE 201A, COLORADO SPRINGS, CO 80918(719) 401-1822 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer Lynn Bautista NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER LYNN BAUTISTA (NPI 1053093674) is an individual professional provider in Colorado Springs, Colorado, licensed in Colorado (LPC.0023757) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1053093674
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJENNIFER LYNN BAUTISTA
Location Address5353 N UNION BLVD STE 201AColorado Springs, CO 80918-2069
Mailing Address17035 Blue Mist GrvMonument, CO 80132-8639 · (719) 401-1822
Phone(719) 401-1822
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 3, 2023
Last NPPES UpdateMay 21, 2026
NPPES CertifiedMay 21, 2026
✔ NPI 1053093674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · LPC.0023757
5353 N UNION BLVD STE 201A, Colorado Springs, CO 80918
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Lynn Bautista is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274005202
PECOS Enrollment IDI20260610003920
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARBARA ANN ROOT LPC
Counselor (Professional)
5353 N UNION BLVD STE 201A
COLORADO SPRINGS, CO 80918
El Paso County (719) 749-1334
MRS. ADREA NICOLE ZALESKI MS, LPC-S, NCC
Counselor
5353 N UNION BLVD STE 201A
COLORADO SPRINGS, CO 80918
El Paso County (850) 619-5607
PRAIRIE WINDS COUNSELING LLC
Counselor (Mental Health)
5353 N UNION BLVD STE 201A
COLORADO SPRINGS, CO 80918
El Paso County (719) 749-1334

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Bautista's NPI number?

The NPI number for Jennifer Bautista is 1053093674. It was assigned to this individual provider in the NPPES registry on August 3, 2023.

Where is Jennifer Bautista located?

Jennifer Bautista practices at 5353 N Union Blvd Ste 201A, Colorado Springs, CO 80918. The listed phone number is (719) 401-1822.

What is Jennifer Bautista's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jennifer Bautista enrolled in Medicare?

Yes. Jennifer Bautista is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Bautista was last updated on May 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.