JILL CONNER
NPI 1114605565
Counselor - Professional in Fort Collins, CO

Active since July 06, 2023PECOS Enrolled
4856 INNOVATION DR, FORT COLLINS, CO 80525(970) 494-4200(970) 613-4475 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jill Conner NPPES

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

JILL CONNER (NPI 1114605565) is an individual professional provider in Fort Collins, Colorado, licensed in Colorado (LPC.0017721) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114605565
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJILL CONNER
Location Address4856 INNOVATION DRFort Collins, CO 80525-5539
Mailing Address4856 Innovation DrFort Collins, CO 80525-5539 · (970) 494-4200 · Fax (970) 613-4475
Fax(970) 613-4475
Sole ProprietorNo
Enumeration DateJuly 6, 2023
Last NPPES UpdateFebruary 16, 2024
NPPES CertifiedFebruary 16, 2024
✔ NPI 1114605565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · LPC.0017721
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License ACD.0001902 (CO)
4856 INNOVATION DR, Fort Collins, CO 80525

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jill Conner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jill Conner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Colorado enrollment
  • 940 clinicians in this Medicare group
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Colorado enrollment
  • 160 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 20

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

Case Manager/Care Coordinator
4856 INNOVATION DR
FORT COLLINS, CO 80525
Pharmacist
4856 INNOVATION DR
FORT COLLINS, CO 80525
Social Worker (Clinical)
4856 INNOVATION DR
FORT COLLINS, CO 80525
Counselor (Addiction (Substance Use Disorder))
4856 INNOVATION DR
FORT COLLINS, CO 80525
Counselor (Professional)
4856 INNOVATION DR
FORT COLLINS, CO 80525
Counselor (Addiction (Substance Use Disorder))
4856 INNOVATION DR
FORT COLLINS, CO 80525
Case Manager/Care Coordinator
4856 INNOVATION DR
FORT COLLINS, CO 80525
Counselor (Professional)
4856 INNOVATION DR
FORT COLLINS, CO 80525

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 Jill Conner's NPI number?

The NPI number for Jill Conner is 1114605565. It was assigned to this individual provider in the NPPES registry on July 6, 2023.

Where is Jill Conner located?

Jill Conner practices at 4856 Innovation Dr, Fort Collins, CO 80525. The listed phone number is (970) 494-4200.

What is Jill Conner's specialty?

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

Is Jill Conner enrolled in Medicare?

Yes. Jill Conner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jill Conner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jill Conner reassigns Medicare benefits to 2 organizations: Sondermind Provider Network LLC (Denver, CO) and Mental Health Specialty Group PA (Durham, NC). Each 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 Jill Conner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jill Conner accept?

Health plans from Select Health list Jill Conner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jill Conner was last updated on February 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.