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FOUNTAIN VALLEY HEALTH CARE LLC
NPI 1225890619
Nurse Practitioner - Psychiatric/Mental Health in Fountain, CO

Active since January 30, 2024
5115 FONTAINE BLVD, FOUNTAIN, CO 80817(719) 653-7776 Get Directions Write a Review

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

About Fountain Valley Health Care Llc NPPES

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

FOUNTAIN VALLEY HEALTH CARE LLC (NPI 1225890619), doing business as Fountain Valley Behavioral Health, is a healthcare organization registered as a psychiatric/mental health in Fountain, Colorado and active in the NPI registry since January 2024. The organization lists Jacquita Louise Jordan, Owner, as its authorized official.

NPPES Registry Identity

NPI1225890619
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameFOUNTAIN VALLEY HEALTH CARE LLC
Location Address5115 FONTAINE BLVDFountain, CO 80817-1061
Mailing Address10265 Rolling Ridge RdColorado Springs, CO 80925-9509 · (719) 653-7776
Phone(719) 653-7776
Organization SubpartYes
Authorized OfficialJacquita Louise JordanOwner · (719) 358-7338
Enumeration DateJanuary 30, 2024
Last NPPES UpdateJune 26, 2026
NPPES CertifiedJune 26, 2026
✔ NPI 1225890619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCounselorTaxonomy 101Y00000X
5115 FONTAINE BLVD, Fountain, CO 80817
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Other Names 1

Doing Business AsFountain Valley Behavioral Health

Other Identifiers 1

Medicaid9000226000CO

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

Other Providers at the Same Location NPPES 7

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

DR. THOMAS G JOHNSON MD
Family Medicine
5115 FONTAINE BLVD
FOUNTAIN, CO 80817
El Paso County (719) 392-2000
DR. RICHARD A MILLER MD
Family Medicine
5115 FONTAINE BLVD
FOUNTAIN, CO 80817
El Paso County (719) 390-7885
FOUNTAIN VALLEY HEALTH CARE LLC
Clinic/Center (Primary Care)
5115 FONTAINE BLVD
FOUNTAIN, CO 80817
El Paso County (719) 271-2887
OPTUMCARE COLORADO SPRINGS, LLC
General Practice
5115 FONTAINE BLVD
FOUNTAIN, CO 80817
El Paso County (719) 392-2000
JACQUITA JORDAN FNP-BC, PMHNP-BC
Nurse Practitioner (Family)
5115 FONTAINE BLVD
FOUNTAIN, CO 80817
El Paso County (719) 653-7776
MRS. VANESSA LEA UTE BERGSTRESER NP
Nurse Practitioner (Family)
5115 FONTAINE BLVD
FOUNTAIN, CO 80817
El Paso County (719) 653-7776
JAMI LEE PEVLER NP
Nurse Practitioner (Family)
5115 FONTAINE BLVD
FOUNTAIN, CO 80817
El Paso County (719) 653-7776

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 Fountain Valley Health Care LLC's NPI number?

The NPI number for Fountain Valley Health Care LLC is 1225890619. It was assigned to this organization in the NPPES registry on January 30, 2024. The provider is doing business as Fountain Valley Behavioral Health.

Where is Fountain Valley Health Care LLC located?

Fountain Valley Health Care LLC is located at 5115 Fontaine Blvd, Fountain, CO 80817. The listed phone number is (719) 653-7776.

What is Fountain Valley Health Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Fountain Valley Health Care LLC was last updated on June 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.