Healthcare Provider Details

I. General information

NPI: 1649847393
Provider Name (Legal Business Name): JESSICA FROST LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2021
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date: 12/19/2025
Reactivation Date: 01/29/2026

III. Provider practice location address

7660 GODDARD ST STE 130
COLORADO SPRINGS CO
80920-8231
US

IV. Provider business mailing address

7660 GODDARD ST STE 130
COLORADO SPRINGS CO
80920-8231
US

V. Phone/Fax

Practice location:
  • Phone: 719-370-0710
  • Fax:
Mailing address:
  • Phone: 719-370-0710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0024192
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: