MS. JETTA LEE SULLIVAN-WELLS (NPI# 1356619159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356619159 |
| Entity Type | Individual |
| Full Name | MS. JETTA LEE SULLIVAN-WELLS |
| Credential | LMFT |
| Practice Address |
6071 E Woodmen Rd Colorado Springs CO 80923-2607 |
| Mailing Address |
3582 Parkmoor Village Dr Apt B Colorado Springs CO 80917-5224 |
| Practice Telephone | 7195726100 |
| Mailing Telephone | 6268067553 |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFT.0001459 | CO | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 48536 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1801 Huntington Dr, Suite 200, Duarte, CA 910102686 | 6268067553 |
| Street Address |
6071 E WOODMEN RD |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80923-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386639615 | Staci Perea Mcmullen | Optometrist | 6071 E Woodmen Rd, Suite 205, Colorado Springs, CO 80923-2607 | 2005-09-13 |
| 1114527967 | Pikes Peak Nephrology Associates PC | Internal Medicine | 6071 E Woodmen Rd, Colorado Springs, CO 80923-2607 | 2020-10-30 |
| 1548879356 | Catholic Health Initiatives Colorado | Obstetrics & Gynecology | 6071 E Woodmen Rd, Colorado Springs, CO 80923-2607 | 2020-07-28 |
| 1386278588 | Desiree Michelle Nadeau | Counselor | 6071 E Woodmen Rd, Colorado Springs, CO 80923-2607 | 2020-02-26 |
| 1376076851 | Aspenpointe Inc Dba Aspenpointe Health Services | Clinic/Center | 6071 E Woodmen Rd, Ste 145, Colorado Springs, CO 80923-2607 | 2017-04-11 |
| 1437501145 | North Care Asc, LLC | Clinic/Center | 6071 E Woodmen Rd, Suite 352, Colorado Springs, CO 80923-2607 | 2016-07-06 |
| 1891149977 | Amanda Zenthoefer | Dentist | 6071 E Woodmen Rd, Suite 200, Colorado Springs, CO 80923-2607 | 2016-04-14 |
| 1679951487 | Kathryn Elizabeth Wilde | Nurse Practitioner | 6071 E Woodmen Rd, Suite 405, Colorado Springs, CO 80923-2614 | 2015-05-12 |
| 1679902217 | Daniel Way | Audiologist-Hearing Aid Fitter | 6071 E Woodmen Rd, #325, Colorado Springs, CO 80923-2607 | 2013-11-04 |
| 1508291972 | Ashlee Rothstein | Audiologist | 6071 E Woodmen Rd, Ste 325, Colorado Springs, CO 80923-2607 | 2013-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942171 | Colorado Otolaryngology Associates, LLC | Specialist | 6031 E. Woodmen Rd., Ste. 300, Colorado Springs, CO 80923 | 2020-11-06 |
| 1750993861 | Kara Pitou | Dietitian, Registered | 7064 Renegade Ridge Dr, Colorado Springs, CO 80923 | 2020-08-19 |
| 1366933632 | The Traveling Therapist, LLC | Social Worker | 6319 Sundance Kid Dr, Colorado Springs, CO 80923 | 2018-05-22 |
| 1669972246 | Stacy H Furukawa | Behavior Technician | 5719 Hawk Springs Dr, Colorado Springs, CO 80923 | 2018-02-20 |
| 1528573854 | Wal-mart Sores, Inc. | Durable Medical Equipment & Medical Supplies | 7825 Dublin Blvd, Colorado Springs, CO 80923 | 2017-12-08 |
| 1699148544 | Kristin Sekelsky | Nurse Practitioner | 6160 Tutt Blvd Ste 150, Colorado Springs, CO 80923 | 2015-11-01 |
| 1164826640 | Nancy Bakhtiar | Massage Therapist | 6160 Tutt Blve #102, Colorado Springs, CO 80923 | 2014-10-13 |
| 1558664326 | Helen Sobeck | Nurse Practitioner | 6001 E. Woodmen Road, Nicu St. Frances Medical Center, Colorado Springs, CO 80923 | 2010-12-16 |
| 1679891832 | Tristan Poe Lindberg | Pediatrics | 6001 E Woodmen Road, Colorado Springs, CO 80923 | 2010-05-12 |
| 1194058933 | Tiffany Ann Nelson | Physician Assistant | 6001 E. Woodmen Rd., St. Francis Medical Center - Nicu, Colorado Springs, CO 80923 | 2009-09-11 |
| Find all providers in zip 80923 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
| 1962029645 | Julie L Wilson LLC | Marriage & Family Therapist | 2130 Academy Cir Ste E, Colorado Springs, CO 80909-1661 | 2020-06-29 |
| 1841821725 | Counseling In Colorado Springs Pllc | Marriage & Family Therapist | 4740 Flintridge Dr Ste 220f, Colorado Springs, CO 80918-4273 | 2020-01-30 |
| 1548890601 | Adult Community Services, LLC | Marriage & Family Therapist | 2210 E La Salle St Ste 108, Colorado Springs, CO 80909-2303 | 2020-01-17 |
| 1457999559 | Stephanie Shubert | Marriage & Family Therapist | 7660 Goddard St, Colorado Springs, CO 80920-8230 | 2019-12-19 |
| 1154980704 | Alison G Dickson | Marriage & Family Therapist | 6170 Lehman Dr Ste 105a, Colorado Springs, CO 80918-3443 | 2019-06-07 |
| 1255990081 | Christine Limon | Marriage & Family Therapist | 1079 Milano Pt Apt 1722, Colorado Springs, CO 80921-5671 | 2019-06-05 |
| 1639632144 | Pathwise Productions, Inc. | Marriage & Family Therapist | 915 Pinon Ranch Vw, Colorado Springs, CO 80907-3578 | 2019-04-11 |
| 1689158065 | Patricia Joanne Diffee | Marriage & Family Therapist | 7450 Campus Dr Ste 100, Colorado Springs, CO 80920-3196 | 2018-09-20 |
| 1952884090 | Faith Kasper | Marriage & Family Therapist | 9043 Rollins Pass Ct, Colorado Springs, CO 80924-7015 | 2018-09-14 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80923 |
Please comment or provide details below to improve the information on MS. JETTA LEE SULLIVAN-WELLS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.