MEDICARE: MRS. TAYLOR JESSICA BURDICK LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	0020252	CO

General Provider Information

NPI Number	:	1568235810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TAYLOR JESSICA BURDICK LPC

Provider Business Mailing Address
First Line	:	3631 BUCKNELL DR
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80129-4389
Country	:	US
Telephone Number	:	720-434-6874
Fax Number	:

Provider Business Practice Location Address
First Line	:	3631 BUCKNELL DR
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80129-4389
Country	:	US
Telephone Number	:	720-432-0497
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2023
Last Update Date	:	01/19/2026

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