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JENNIFER NICOLE DOUGLAS
NPI 1881975225
Counselor - Mental Health in Lafayette, CO

Active since August 30, 2011PECOS Enrolled
1455 DIXON AVE, LAFAYETTE, CO 80026(303) 443-8500 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 29, 2021, Sep 26, 2016 (2 updates tracked since 2016).

About Jennifer Nicole Douglas NPPES

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

JENNIFER NICOLE DOUGLAS (NPI 1881975225) is an individual mental health provider in Lafayette, Colorado, licensed in Colorado (LPC.0012246) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Thornton.

NPPES Registry Identity

NPI1881975225
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER NICOLE DOUGLAS
Location Address1455 DIXON AVELafayette, CO 80026-8879
Mailing Address1455 Dixon AveLafayette, CO 80026-8879 · (303) 443-8500
Phone(303) 443-8500
Sole ProprietorNo
Enumeration DateAugust 30, 2011
Last NPPES UpdateMarch 29, 20212 updates tracked since enumeration
NPPES CertifiedMarch 29, 2021
✔ NPI 1881975225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CO · LPC.0012246
1455 DIXON AVE, Lafayette, CO 80026
Open in Google Maps ↗

Secondary Practice Location 1

Location 18931 Huron StThornton, CO 80260-6806 · Phone (303) 853-3500

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Nicole Douglas 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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinica Campesina Family Health Services
Same address
Mental Health (Including Community Mental Health Center)
1455 DIXON AVE
Lafayette, CO 80026
  • Reassigned Medicare billing, Colorado enrollment
  • 183 clinicians in this Medicare group
NPI 1184460321 (303) 443-8500

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

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.

SOFIA MCILROY
Student in an Organized Health Care Education/Training Program
1455 DIXON AVE
LAFAYETTE, CO 80026
Boulder County (303) 443-8500
LAURA GRACE-COLE SPICER MSW, CACII
Social Worker
1455 DIXON AVE
LAFAYETTE, CO 80026
Boulder County (303) 358-9371
KARLIE MICHELLE ESWORTHY
Counselor (Professional)
1455 DIXON AVE
LAFAYETTE, CO 80026
Boulder County (303) 443-8500
WILLIAM GAUB
Counselor (Mental Health)
1455 DIXON AVE
LAFAYETTE, CO 80026
Boulder County (303) 443-8500
MOLLIE E SHIN
Counselor (Mental Health)
1455 DIXON AVE
LAFAYETTE, CO 80026
Boulder County (713) 384-8421
CHRISTINE JONES LCSW
Social Worker (Clinical)
1455 DIXON AVE
LAFAYETTE, CO 80026
Boulder County (315) 317-3795
DANA MARIE GUTIERREZ
Counselor (Mental Health)
1455 DIXON AVE
LAFAYETTE, CO 80026
Boulder County (303) 443-8500
CHLOE WEBER
Student in an Organized Health Care Education/Training Program
1455 DIXON AVE
LAFAYETTE, CO 80026
Boulder County (303) 443-8500

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 Douglas's NPI number?

The NPI number for Jennifer Douglas is 1881975225. It was assigned to this individual provider in the NPPES registry on August 30, 2011.

Where is Jennifer Douglas located?

Jennifer Douglas practices at 1455 Dixon Ave, Lafayette, CO 80026. The listed phone number is (303) 443-8500.

What is Jennifer Douglas's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jennifer Douglas enrolled in Medicare?

Yes. Jennifer Douglas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Douglas reassigns Medicare benefits to Clinica Campesina Family Health Services (Lafayette, CO). The 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 Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Douglas was last updated on March 29, 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.