Buck Jack, Llc - Mental Health Clinic in Fountain, CO

Buck Jack, Llc is a mental health clinic (Behavior Analyst) in Fountain, Colorado. The current practice location for Buck Jack, Llc is 901 N Santa Fe Ave, Fountain, Colorado. For appointments, you can reach them via phone at (719) 597-0822. The mailing address for Buck Jack, Llc is 2233 Academy Pl Ste 200, Colorado Springs, Colorado and phone number is (719) 597-0822.

Buck Jack, Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1942018130. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (719) 597-0822.

Contact Information

Buck Jack, Llc
901 N Santa Fe Ave
Fountain
CO 80817-1738
(719) 597-0822
(719) 599-4606

Map and Direction


Mental Health Clinic Profile

Full NameBuck Jack, Llc
SpecialityBehavior Analyst
Location901 N Santa Fe Ave, Fountain, Colorado
Authorized Official Name and PositionTanner Hall (CREDENTIALING SPECIALIST)
Authorized Official Contact7195970822
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Buck Jack, Llc
2233 Academy Pl Ste 200
Colorado Springs
CO 80909-1666

Ph: (719) 597-0822
Buck Jack, Llc
901 N Santa Fe Ave
Fountain
CO 80817-1738

Ph: (719) 597-0822

NPI Details:

NPI Number1942018130
Provider Enumeration Date12/20/2024
Last Update Date12/20/2024
Certification Date12/20/2024

Medical Identifiers

Medical identifiers for Buck Jack, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942018130NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103K00000XBehavior Analyst (* (Not Available))Primary
106S00000XBehavior Technician (* (Not Available))Secondary
224Z00000XOccupational Therapy Assistant (* (Not Available))Secondary
225100000XPhysical Therapist (* (Not Available))Secondary
225200000XPhysical Therapy Assistant (* (Not Available))Secondary
225X00000XOccupational Therapist (* (Not Available))Secondary
2355S0801XSpecialist/technologist - Speech-language Assistant (* (Not Available))Secondary
235Z00000XSpeech-language Pathologist (* (Not Available))Secondary

Reviews and Comments

Behavior Analyst in Fountain, CO

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.