JASON STAIRES LPC, CAS, MA
NPI 1124135819
Counselor - Professional in Fort Collins, CO

Q: What is Jason Staires's NPI number?

The NPI number for Jason Staires is 1124135819. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Q: What is Jason Staires's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jason Staires was last updated on March 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 25, 2006PECOS Enrolled

4856 INNOVATION DR, FORT COLLINS, CO 80525(970) 494-4200(844) 270-1824 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 27, 2025, Jul 25, 2024, Aug 14, 2020 and 3 more (6 updates tracked since 2017).

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About Jason Staires Lpc, Cas, Ma NPPES

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

JASON STAIRES LPC, CAS, MA (NPI 1124135819) is an individual professional provider in Fort Collins, Colorado, licensed in Colorado (LPC.0011244) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124135819

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameJASON STAIRESCredential: LPC, CAS, MA

Location Address4856 INNOVATION DRFort Collins, CO 80525-5539

Mailing Address4856 Innovation DrFort Collins, CO 80525-5539 · (970) 494-4200 · Fax (844) 270-1824

Phone(970) 494-4200

Fax(844) 270-1824

Sole ProprietorNo

Enumeration DateAugust 25, 2006

Last NPPES UpdateMarch 27, 20256 updates tracked since enumeration

NPPES CertifiedMarch 27, 2025

✔ NPI 1124135819 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.0011244

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License ACC.0997244 (CO)

4856 INNOVATION DR, Fort Collins, CO 80525

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Staires Lpc, Cas, Ma 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.