MEDICARE: JERI STRONG LMFT, 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	101YP2500X	Professional Counselor	LPC.0014337	CO
2	106H00000X	Marriage & Family Therapist	MFT.0001496	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0000	OTHER		N/A

General Provider Information

NPI Number	:	1811382401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JERI STRONG LMFT, LPC

Provider Business Mailing Address
First Line	:	2590 SILENT RAIN DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-3088
Country	:	US
Telephone Number	:	720-924-1822
Fax Number	:

Provider Business Practice Location Address
First Line	:	5855 LEHMAN DR STE 202
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-3492
Country	:	US
Telephone Number	:	720-924-1822
Fax Number	:

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

Provider Enumeration Date	:	04/01/2015
Last Update Date	:	07/14/2022

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