Provider Demographics
NPI:1568718138
Name:CUMMINGS, J CAROL (MA, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:J
Middle Name:CAROL
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1931 BOISE AVE
Mailing Address - Street 2:SUITE 236
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-4295
Mailing Address - Country:US
Mailing Address - Phone:970-818-1919
Mailing Address - Fax:877-818-1984
Practice Address - Street 1:1931 BOISE AVE
Practice Address - Street 2:SUITE 236
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-4295
Practice Address - Country:US
Practice Address - Phone:970-818-1919
Practice Address - Fax:877-818-1984
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-31
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC5347101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health