Provider Demographics
NPI:1235930231
Name:KIRKPATRICK, JENNIFER (MA, LAC, LPCC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:KIRKPATRICK
Suffix:
Gender:
Credentials:MA, LAC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12087 BLACKWELL WAY
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-8858
Mailing Address - Country:US
Mailing Address - Phone:303-909-1211
Mailing Address - Fax:
Practice Address - Street 1:12311 PINE BLUFFS WAY
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-4339
Practice Address - Country:US
Practice Address - Phone:720-335-6141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0002592101YA0400X
COLPCC.0021392101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)