JERI INNIS (NPI# 1477968170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477968170 |
| Entity Type | Individual |
| Full Name | JERI INNIS |
| Practice Address |
529 Coffman St Ste 300 Longmont CO 80501-5450 |
| Mailing Address |
3830 Broadway St Apt 31 Boulder CO 80304-1243 |
| Practice Telephone | 3036840555 |
| Mailing Telephone | 9253309608 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
529 COFFMAN ST STE 300 |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-5450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114093010 | Mental Health Center of Boulder County | Community/Behavioral Health | 529 Coffman St Ste 300, Longmont, CO 80501-5450 | 2006-11-24 |
| 1063990489 | Danice Williamson | Case Manager/Care Coordinator | 529 Coffman St Ste 300, Longmont, CO 80501-5450 | 2018-07-30 |
| 1811403363 | Christine E Cork | Physician Assistant | 529 Coffman St Ste 300, Longmont, CO 80501 | 2017-12-20 |
| 1841705274 | Susan Hester Pomerleau | Case Manager/Care Coordinator | 529 Coffman St Ste 300, Longmont, CO 80501-5450 | 2017-12-07 |
| 1205340775 | Kristen Kron | Counselor | 529 Coffman St Ste 300, Longmont, CO 80501-5450 | 2017-11-20 |
| 1760908107 | Melissa Clare Smith | Counselor | 529 Coffman St Ste 300, Longmont, CO 80501-5450 | 2017-08-17 |
| 1861807265 | Anne Hyink | Counselor | 529 Coffman St Ste 300, Longmont, CO 80501-5450 | 2014-06-24 |
| 1568661379 | Andrea L Berger | Counselor | 529 Coffman St Ste 300, Longmont, CO 80501-5450 | 2007-07-12 |
| 1689893315 | Kimberli Hamilton | Counselor | 529 Coffman St Ste 300, Longmont, CO 80501-5450 | 2007-04-24 |
| 1346368172 | Chris E. Lovato | Counselor | 529 Coffman St Ste 300, Longmont, CO 80501-5450 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073135398 | Gj Counseling LLC | Counselor | 2727 Nelson Rd Apt W301, Longmont, CO 80503-9347 | 2020-05-08 |
| 1437799251 | Chandra Rae Lontz-smith | Counselor | 16 Mountain View Ave Ste 112, Longmont, CO 80501-3420 | 2020-01-09 |
| 1992285001 | Dal Marque Dumars | Counselor | 29 Highway 52 Unit 12, Longmont, CO 80504-9497 | 2018-08-17 |
| 1013415538 | Carl Baccellieri | Counselor | 1245 Gay St, Longmont, CO 80501-3813 | 2018-01-30 |
| 1912405689 | Page Christine Fischer | Counselor | 2700 E Ken Pratt Blvd, Longmont, CO 80504-5275 | 2018-01-29 |
| 1306359443 | Ashley Roueche | Counselor | 1446 Hover St Ste 204, Longmont, CO 80501-2485 | 2017-11-12 |
| 1124540695 | Amanda Dean | Counselor | 1320 Carnation Cir, Longmont, CO 80503-7543 | 2017-07-16 |
| 1144677576 | Faith Halverson-ramos | Counselor | 1361 Francis St Ste 201e, Longmont, CO 80501-2512 | 2016-05-16 |
| 1851753891 | Jonathan Benz | Counselor | 1630 Dry Creek Dr Ste 100b, Longmont, CO 80503-6405 | 2016-03-28 |
| 1710346010 | Lori Austin | Counselor | 1855 Lochmore Dr, Longmont, CO 80504-2364 | 2016-02-15 |
| Find all providers in LONGMONT | ||||
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| 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.