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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ERICA JACQUEZ BURAL LCSW
NPI 1396577144
Social Worker - Clinical in Fort Collins, CO

Active since August 19, 2024Opted out of Medicare · through Jul 21, 2028
3500 JOHN F KENNEDY PKWY STE 209, FORT COLLINS, CO 80525(806) 316-5036(855) 610-2184 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 1, 2025, Sep 6, 2024, Aug 19, 2024 (3 updates tracked since 2024).

About Erica Jacquez Bural Lcsw NPPES

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

ERICA JACQUEZ BURAL LCSW (NPI 1396577144) is an individual clinical provider in Fort Collins, Colorado, licensed in Texas (107478) and active in the NPI registry since August 2024. She has opted out of Medicare through July 21, 2028.

NPPES Registry Identity

NPI1396577144
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameERICA JACQUEZ BURALCredential: LCSW
Location Address3500 JOHN F KENNEDY PKWY STE 209Fort Collins, CO 80525-2635
Mailing Address3500 John F Kennedy Pkwy Ste 209Fort Collins, CO 80525-2635 · (806) 316-5036 · Fax (855) 610-2184
Phone(806) 316-5036
Fax(855) 610-2184
Sole ProprietorNo
Enumeration DateAugust 19, 2024
Last NPPES UpdateOctober 21, 20263 updates tracked since enumeration
NPPES CertifiedOctober 21, 2026
✔ NPI 1396577144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 107478
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3500 JOHN F KENNEDY PKWY STE 209, Fort Collins, CO 80525
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Other Names 1

Former Name (1)Erica Jacquez Lmsw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Erica Jacquez Bural Lcsw 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 July 21, 2026 through July 21, 2028.

Opt-Out Effective DateJuly 21, 2026
Opt-Out In Effect ThroughJuly 21, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Erica Jacquez Bural's NPI number?

The NPI number for Erica Jacquez Bural is 1396577144. It was assigned to this individual provider in the NPPES registry on August 19, 2024. The provider is also known as Erica Jacquez Lmsw.

Where is Erica Jacquez Bural located?

Erica Jacquez Bural practices at 3500 John F Kennedy Pkwy Ste 209, Fort Collins, CO 80525. The listed phone number is (806) 316-5036.

What is Erica Jacquez Bural's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Erica Jacquez Bural enrolled in Medicare?

No. Erica Jacquez Bural has opted out of Medicare through July 21, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Erica Jacquez Bural accept?

Health plans from Blue Cross and Blue Shield of Texas list Erica Jacquez Bural 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 Erica Jacquez Bural was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.