Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Lynn Bautista

Individual provider Professional Counselor · NPI 1053093674

Jennifer Lynn Bautista is a Mental Health Counselor in Colorado Springs, Colorado. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Colorado.

Years since qualifying
3
Licensed in
CO
In the registry since
2023

Practice location Address checks out

5353 N Union Blvd Ste 201A
Colorado Springs, CO 80918-2069
Phone: (719) 401-1822
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC.0023757 (CO)

Record details

NPI number1053093674
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 3, 2023
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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