MEDICARE: MS. JACQUELYN L UPSHAW RN,LPC

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	101YP2500X	Professional Counselor	1598	CO

General Provider Information

NPI Number	:	1902005283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JACQUELYN L UPSHAW RN,LPC

Provider Business Mailing Address
First Line	:	4601 CORBETT DR
Second Line	:
City	:	FT COLLINS
State	:	CO
Zip	:	80528-9579
Country	:	US
Telephone Number	:	970-207-4800
Fax Number	:	970-207-4805

Provider Business Practice Location Address
First Line	:	4601 CORBETT DR
Second Line	:
City	:	FT COLLINS
State	:	CO
Zip	:	80528-9579
Country	:	US
Telephone Number	:	970-207-4800
Fax Number	:	970-207-4805

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2007
Last Update Date	:	07/16/2007

Similar Medicare Providers

1013009604 — MR. LAWRENCE ALAN MERKEL MD
Practice Location Address:

2121 E HARMONY RD , STE 370
FT COLLINS, CO
80528-3404

Practice Phone: 970-221-2290
Practice Fax: 970-295-0036

1548352149 — FORT COLLINS FAMILY PHYSICIANS PROFESSIONAL LLC
Practice Location Address:

2121 E HARMONY RD , STE 370
FT COLLINS, CO
80528-3404

Practice Phone: 970-221-2290
Practice Fax: 970-295-0036

1215027107 — BENDER MEDICAL GROUP INC
Practice Location Address:

4674 SNOW MESA DR , STE 140
FT COLLINS, CO
80528

Practice Phone: 970-482-0213
Practice Fax: 970-482-9646

1962575001 — SUSAN LAMB ANP
Practice Location Address:

1025 PENNCOCK PLACE #121
FT COLLINS, CO
80528-8052

Practice Phone: 970-495-8800
Practice Fax:

1619042256 — JESSICA TRAVIS FNP
Practice Location Address:

4674 SNOW MESA DR STE 140
FT COLLINS, CO
80528-8614

Practice Phone: 970-482-0213
Practice Fax: 970-482-9646

1164580346 — ALLISON MADDOX SCHINDLER PA-C
Practice Location Address:

4674 SNOW MESA DR STE 140
FT COLLINS, CO
80528-8614

Practice Phone: 970-482-0213
Practice Fax: 970-482-9646

Directions to “ MS. JACQUELYN L UPSHAW RN,LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.