JENNIFER WILSON PHD
NPI 1285854364
Psychologist in Colorado Springs, CO

Active since April 30, 2007Opted out of Medicare · through Jan 1, 2027
2864 S CIRCLE DR, SUITE 600, COLORADO SPRINGS, CO 80906(719) 314-4260(716) 264-6614 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jennifer Wilson Phd NPPES

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

JENNIFER WILSON PHD (NPI 1285854364) is an individual psychologist in Colorado Springs, Colorado, licensed in Colorado (3042) and active in the NPI registry since April 2007. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1285854364
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJENNIFER WILSONCredential: PHD
Location Address2864 S CIRCLE DR, SUITE 600Colorado Springs, CO 80906-4114
Mailing Address8335 Ivory LoopPeyton, CO 80831-6761 · (719) 302-1276
Fax(716) 264-6614
Sole ProprietorNo
Enumeration DateApril 30, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1285854364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in CO · 3042 Licensed in NM · 0833
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.

2864 S CIRCLE DR, Colorado Springs, CO 80906

Other Identifiers 1

Medicaid56054556NM

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jennifer Wilson Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2019 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2019
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Social Worker (Clinical)
2864 S CIRCLE DR, SUITE 500
COLORADO SPRINGS, CO 80906
Counselor (Professional)
2864 S CIRCLE DR, SUITE 600
COLORADO SPRINGS, CO 80906
Social Worker (Clinical)
2864 S CIRCLE DR, STE. 500
COLORADO SPRINGS, CO 80906
Registered Nurse
2864 S CIRCLE DR, SUITE 600
COLORADO SPRINGS, CO 80906
Counselor (Professional)
2864 S CIRCLE DR, SUITE 600
COLORADO SPRINGS, CO 80906
Psychologist
2864 S CIRCLE DR, SUITE 600
COLORADO SPRINGS, CO 80906
Marriage & Family Therapist
2864 S CIRCLE DR
COLORADO SPRINGS, CO 80906
Counselor (Professional)
2864 S CIRCLE DR, STE 600
COLORADO SPRINGS, CO 80906

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285854364, enumerated as an "individual" on April 30, 2007.

The provider is located at 2864 S CIRCLE DR SUITE 600 COLORADO SPRINGS, CO 80906 and the phone number is (719) 314-4260.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.