MRS. JESSICA L KERN LSW, LAC
NPI 1255679718
Counselor - Addiction (Substance Use Disorder) in Greeley, CO

Q: What is Jessica Kern's NPI number?

The NPI number for Jessica Kern is 1255679718. It was assigned to this individual provider in the NPPES registry on January 17, 2013. The provider is also known as Jessica L Logan.

Q: What is Jessica Kern's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Kern was last updated on May 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 17, 2013PECOS Enrolled

6767 29TH ST, GREELEY, CO 80634(970) 347-2120 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 10, 2021, Apr 26, 2021, Jul 19, 2019 and 1 more (4 updates tracked since 2018).

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About Mrs. Jessica L Kern Lsw, Lac NPPES

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

MRS. JESSICA L KERN LSW, LAC (NPI 1255679718) is an individual addiction (substance use disorder) provider in Greeley, Colorado, licensed in Colorado (1787) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Collins.

NPPES Registry Identity

NPI1255679718

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMRS. JESSICA L KERNCredential: LSW, LAC

Location Address6767 29TH STGreeley, CO 80634-5474

Mailing Address1300 N 17th AveGreeley, CO 80631-9584 · (970) 347-2120

Phone(970) 347-2120

Sole ProprietorNo

Enumeration DateJanuary 17, 2013

Last NPPES UpdateMay 10, 20214 updates tracked since enumeration

NPPES CertifiedMay 10, 2021

✔ NPI 1255679718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in CO · 1787

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 9923373 (CO)

6767 29TH ST, Greeley, CO 80634

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Other Names 1

Former Name (1)Jessica L Logan

Secondary Practice Location 1

Location 1700 Centre AveFort Collins, CO 80526-2023 · Phone (970) 494-4200

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jessica L Kern Lsw, Lac 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.

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.

DR. KATIE ANN KENNEDY PT, DPT

Physical Therapist