Healthcare Provider Details

I. General information

NPI: 1053257295
Provider Name (Legal Business Name): BRENDA JONES LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 S PARKSIDE DR
COLORADO SPRINGS CO
80910-3130
US

IV. Provider business mailing address

1795 JET WING DR
COLORADO SPRINGS CO
80916-2332
US

V. Phone/Fax

Practice location:
  • Phone: 719-572-6100
  • Fax: 719-572-6100
Mailing address:
  • Phone: 719-572-6100
  • Fax: 719-572-6100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0005067
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: