MEDICARE: JENNY COFFEY COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1023804093
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JENNY COFFEY COUNSELING LLC

Provider Business Mailing Address
First Line	:	5373 N UNION BLVD STE 102
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-2073
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7750 N UNION BLVD STE 202
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-4082
Country	:	US
Telephone Number	:	804-317-8767
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JENNY COFFEY
Credential	:	LMFT
Telephone Number	:	804-317-8767

Provider Enumeration Date	:	04/16/2025
Last Update Date	:	02/18/2026

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