DR. JESSICA BLAIR HETRICK-CANO PSYD, MSCP
NPI 1730444142
Psychologist in Colorado Springs, CO

Active since July 11, 2012PECOS Enrolled
2918 BEACON ST, COLORADO SPRINGS, CO 80907(719) 964-8953(719) 309-5864 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 30, 2021, Jul 13, 2020, Jun 25, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Jessica Blair Hetrick-cano Psyd, Mscp NPPES

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

DR. JESSICA BLAIR HETRICK-CANO PSYD, MSCP (NPI 1730444142) is an individual psychologist in Colorado Springs, Colorado, licensed in Colorado (4106) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730444142
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JESSICA BLAIR HETRICK-CANOCredential: PSYD, MSCP
Location Address2918 BEACON STColorado Springs, CO 80907-9208
Mailing Address2918 Beacon StColorado Springs, CO 80907-9208 · (719) 964-8953 · Fax (719) 309-5864
Fax(719) 309-5864
Sole ProprietorYes
Enumeration DateJuly 11, 2012
Last NPPES UpdateApril 30, 20214 updates tracked since enumeration
NPPES CertifiedApril 30, 2021
NPI 1730444142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CO · 4106
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.

Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 4106 (CO)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 4106 (CO), 1577 (HI)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 4106 (CO)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 4106 (CO)
Also ListedPsychologist · HealthTaxonomy 103TH0004X · License 4106 (CO)
Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X · License 4106 (CO)
Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X · License 4106 (CO)
2918 BEACON ST, Colorado Springs, CO 80907

Other Names 1

Professional Name (2)Dr. J. Blair Cano Psyd, Mscp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jessica Blair Hetrick-cano Psyd, Mscp 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 5

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

Nurse Practitioner (Psychiatric/Mental Health)
2918 BEACON ST
COLORADO SPRINGS, CO 80907
Psychologist (Clinical)
2918 BEACON ST
COLORADO SPRINGS, CO 80907
Physician Assistant
2918 BEACON ST
COLORADO SPRINGS, CO 80907
Nurse Practitioner (Psychiatric/Mental Health)
2918 BEACON ST
COLORADO SPRINGS, CO 80907
Nurse Practitioner (Psychiatric/Mental Health)
2918 BEACON ST
COLORADO SPRINGS, CO 80907

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 Jessica Hetrick-cano's NPI number?

The NPI number for Jessica Hetrick-cano is 1730444142. It was assigned to this individual provider in the NPPES registry on July 11, 2012. The provider is also known as Dr. J. Blair Cano Psyd, Mscp.

Where is Jessica Hetrick-cano located?

Jessica Hetrick-cano practices at 2918 Beacon St, Colorado Springs, CO 80907. The listed phone number is (719) 964-8953.

What is Jessica Hetrick-cano's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jessica Hetrick-cano enrolled in Medicare?

Yes. Jessica Hetrick-cano is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Hetrick-cano was last updated on April 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.