Healthcare Provider Details

I. General information

NPI: 1265384085
Provider Name (Legal Business Name): JENNIFER RENA PRESSEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12474 CARMEL RIDGE RD
COLORADO SPRINGS CO
80921-2124
US

IV. Provider business mailing address

12474 CARMEL RIDGE RD
COLORADO SPRINGS CO
80921-2124
US

V. Phone/Fax

Practice location:
  • Phone: 719-208-4194
  • Fax:
Mailing address:
  • Phone: 719-208-4194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0023598
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: