MEDICARE: KATHARINE E JONES MA, LPCC, ATR-P

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	LPCC.0021809	CO

General Provider Information

NPI Number	:	1942047444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHARINE E JONES MA, LPCC, ATR-P

Provider Business Mailing Address
First Line	:	1925 30TH ST APT 163
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80301-3051
Country	:	US
Telephone Number	:	208-967-0066
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 RANGE ST STE 202
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80301-2739
Country	:	US
Telephone Number	:	720-248-7658
Fax Number	:

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

Provider Enumeration Date	:	07/11/2024
Last Update Date	:	12/22/2025

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