JEREMY T. SHARP, PH.D., LLC
NPI 1104156777
Psychologist in Fort Collins, CO

Active since January 05, 2010
3500 JOHN F KENNEDY PKWY STE 200, FORT COLLINS, CO 80525(970) 889-8204(888) 494-3756 Get Directions Write a Review

NPPES record last updated: August 14, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jeremy T. Sharp, Ph.d., Llc NPPES

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

JEREMY T. SHARP, PH.D., LLC (NPI 1104156777) is a healthcare organization registered as a psychologist in Fort Collins, Colorado and active in the NPI registry since January 2010. The organization lists Jeremy Thomas Sharp, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1104156777
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameJEREMY T. SHARP, PH.D., LLC
Location Address3500 JOHN F KENNEDY PKWY STE 200Fort Collins, CO 80525-2635
Mailing Address3500 John F Kennedy Pkwy Ste 200Fort Collins, CO 80525-2635 · (970) 889-8204 · Fax (888) 494-3756
Fax(888) 494-3756
Organization SubpartNo
Authorized OfficialJeremy Thomas SharpPsychologist · (970) 420-7919
Enumeration DateJanuary 5, 2010
Last NPPES UpdateAugust 14, 2020
NPPES CertifiedAugust 14, 2020
✔ NPI 1104156777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in CO · 3349
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
3500 JOHN F KENNEDY PKWY STE 200, Fort Collins, CO 80525

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeremy T. Sharp, Ph.d., Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateColoradoEnrollment IDO20100204000746Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jeremy T. Sharp, Ph.D., LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Psychologist
NPI 1821323676
3500 JOHN F KENNEDY PKWY STE 200
Fort Collins, CO 80525
(970) 889-8204
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1477065985
3555 STANFORD RD STE 140
Fort Collins, CO 80525
(970) 829-1128
✔ PECOS1.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jeremy T. Sharp, Ph.D., LLC's NPI number?

The NPI number for Jeremy T. Sharp, Ph.D., LLC is 1104156777. It was assigned to this organization in the NPPES registry on January 5, 2010.

Where is Jeremy T. Sharp, Ph.D., LLC located?

Jeremy T. Sharp, Ph.D., LLC is located at 3500 John F Kennedy Pkwy Ste 200, Fort Collins, CO 80525. The listed phone number is (970) 889-8204.

What is Jeremy T. Sharp, Ph.D., LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jeremy T. Sharp, Ph.D., LLC enrolled in Medicare?

Yes. Jeremy T. Sharp, Ph.D., LLC is registered in the Medicare PECOS enrollment system.

When is Jeremy T. Sharp, Ph.D., LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jeremy T. Sharp, Ph.D., LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Jeremy T. Sharp, Ph.D., LLC, in Clinical Psychologist and Clinical Social Worker. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jeremy T. Sharp, Ph.D., LLC was last updated on August 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.