Healthcare Provider Details

I. General information

NPI: 1477477933
Provider Name (Legal Business Name): JANIS LYN CROSS LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1260 GOLDEN HILLS RD
COLORADO SPRINGS CO
80919-7933
US

IV. Provider business mailing address

1260 GOLDEN HILLS RD
COLORADO SPRINGS CO
80919-7933
US

V. Phone/Fax

Practice location:
  • Phone: 719-930-4445
  • Fax:
Mailing address:
  • Phone: 719-930-4445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0021376
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: