Provider Demographics
NPI:1942079363
Name:KAITLIN JONES LLC
Entity Type:Organization
Organization Name:KAITLIN JONES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER AND CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAITLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DOUGLAS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:970-613-1315
Mailing Address - Street 1:375 E HORSETOOTH RD BLDG 4201
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-3198
Mailing Address - Country:US
Mailing Address - Phone:970-999-0440
Mailing Address - Fax:
Practice Address - Street 1:375 E HORSETOOTH RD BLDG 4201
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-3198
Practice Address - Country:US
Practice Address - Phone:970-999-0440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty