Provider Demographics
NPI:1669950408
Name:SPRINKLE, JENNIFER N (LPC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:N
Last Name:SPRINKLE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:N
Other - Last Name:GEISEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16691 E NAVARRO DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-2907
Mailing Address - Country:US
Mailing Address - Phone:757-334-0586
Mailing Address - Fax:
Practice Address - Street 1:1560 BROADWAY
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-6000
Practice Address - Country:US
Practice Address - Phone:232-057-0883
Practice Address - Fax:833-419-0181
Is Sole Proprietor?:No
Enumeration Date:2018-08-03
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007758101YP2500X
COLPC.0019782101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1659424448Medicaid