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JENNIFER CATHERINE KUBALAK
NPI 1740987973
Counselor - Professional in Boulder, CO

Active since February 08, 2023PECOS EnrolledAccepts Medicare Assignment
4155 DARLEY AVE STE F1, BOULDER, CO 80305(855) 284-7483(617) 807-0958 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 27, 2023, Feb 8, 2023 (2 updates tracked since 2023).

About Jennifer Catherine Kubalak NPPES

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

JENNIFER CATHERINE KUBALAK (NPI 1740987973) is an individual professional provider in Boulder, Colorado, licensed in Colorado (LPC.0018370) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1740987973
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJENNIFER CATHERINE KUBALAK
Location Address4155 DARLEY AVE STE F1Boulder, CO 80305-6536
Mailing AddressPo Box 748465Atlanta, GA 30374-8465 · (855) 284-7483 · Fax (617) 807-0958
Phone(855) 284-7483
Fax(617) 807-0958
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 8, 2023
Last NPPES UpdateFebruary 27, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2023
✔ NPI 1740987973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · LPC.0018370
4155 DARLEY AVE STE F1, Boulder, CO 80305
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Catherine Kubalak is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779025465
PECOS Enrollment IDI20240610002099
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jennifer Kubalak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thornwoodwellnessllc
5.5 mi
Clinical
225 W S BOULDER RD STE 103
Louisville, CO 80027
  • Reassigned Medicare billing, Colorado enrollment
  • 25 clinicians in this Medicare group
NPI 1467153809 (720) 868-9641
Thrive Counseling LLC
1,417 mi
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Colorado enrollment
  • 40 clinicians in this Medicare group
NPI 1215181300 (855) 284-7483

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jennifer Kubalak's NPI number?

The NPI number for Jennifer Kubalak is 1740987973. It was assigned to this individual provider in the NPPES registry on February 8, 2023.

Where is Jennifer Kubalak located?

Jennifer Kubalak practices at 4155 Darley Ave Ste F1, Boulder, CO 80305. The listed phone number is (855) 284-7483.

What is Jennifer Kubalak's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jennifer Kubalak enrolled in Medicare?

Yes. Jennifer Kubalak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jennifer Kubalak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Kubalak reassigns Medicare benefits to 2 organizations: Thornwoodwellnessllc (Louisville, CO) and Thrive Counseling LLC (Lynchburg, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Kubalak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Kubalak accept?

Health plans from Oscar Insurance Company and Select Health list Jennifer Kubalak 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 Jennifer Kubalak was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.