Provider Demographics
NPI:1316408800
Name:FISCHER, JENNIFER E (MA, LPC, CACI)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:E
Last Name:FISCHER
Suffix:
Gender:F
Credentials:MA, LPC, CACI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3336 ARAPAHOE RD
Mailing Address - Street 2:UNIT B #239
Mailing Address - City:ERIE
Mailing Address - State:CO
Mailing Address - Zip Code:80516
Mailing Address - Country:US
Mailing Address - Phone:720-724-8214
Mailing Address - Fax:
Practice Address - Street 1:3336 ARAPAHOE RD
Practice Address - Street 2:UNIT B #239
Practice Address - City:ERIE
Practice Address - State:CO
Practice Address - Zip Code:80516
Practice Address - Country:US
Practice Address - Phone:720-724-8214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-27
Last Update Date:2024-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACA.0007116101YA0400X
COLPC.0016530101YP2500X
COLPCC.0016344101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional