Provider Demographics
NPI:1063399194
Name:LILLIE, JENNIFER (LPCC, ATR-P)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:LILLIE
Suffix:
Gender:F
Credentials:LPCC, ATR-P
Other - Prefix:
Other - First Name:JENNI
Other - Middle Name:
Other - Last Name:LILLIE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:705 JARVIS DR
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:CO
Mailing Address - Zip Code:80516-2483
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7655 W MISSISSIPPI AVE # 310
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-4356
Practice Address - Country:US
Practice Address - Phone:720-485-3756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
25-407221700000X
CO0023841101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist