Healthcare Provider Details

I. General information

NPI: 1306184718
Provider Name (Legal Business Name): JENNIFER COLTON LMHC, CASAC-T
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2013
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 E CENTER AVE
SEBRING FL
33870-3502
US

IV. Provider business mailing address

PO BOX 1284
SEBRING FL
33871-1284
US

V. Phone/Fax

Practice location:
  • Phone: 646-481-1061
  • Fax:
Mailing address:
  • Phone: 646-481-1061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number006030
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH20240
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: