Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Buck Jack LLC

Q: What type of organization is Buck Jack LLC?

Buck Jack LLC is registered in NPPES as a Speech-Language Pathologist (its primary provider taxonomy).

Speech-Language Pathologist in Fountain, CO · enumerated 2020 · authorized official Tanner Denn, Credentialing Specialist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1356954424

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Buck Jack LLC

Other name <Unavail>

Practice address 901 N Santa Fe Ave, Fountain, CO, 80817

Phone (719) 822-0550

Fax (719) 599-4606

Enumeration date Aug 28, 2020

Last updated in NPPES Feb 28, 2024

Taxonomy & classification

103K00000X Behavior Analyst Behavioral Health & Social Service Providers Secondary

103T00000X Psychologist Behavioral Health & Social Service Providers Secondary

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Primary

Authorized official

Name Tanner Denn

Title Credentialing Specialist

Phone (719) 428-1840

Other identifiers

Identifier	Type	State	Issuer
9000187773	Medicaid	CO	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Buck Jack LLC?

Buck Jack LLC is registered in NPPES as a Speech-Language Pathologist (its primary provider taxonomy).

Providers at this address

Browse all →

Nicole Losse Physical Therapist · Fountain, CO NPI 1245771989 Madeleine Finnern Speech-Language Pathologist · Fountain, CO NPI 1356860688 Jessica Mace Speech-Language Pathologist · Fountain, CO NPI 1043702657 Emily Hutchison Behavior Analyst · Fountain, CO NPI 1275010951 Jamie Budhan Speech-Language Pathologist · Fountain, CO NPI 1740746148 Hannah Fiser Occupational Therapist · Fountain, CO NPI 1417519885 Savanna Golson Physical Therapist · Fountain, CO NPI 1598312621 Elissa Payonk Physical Therapist · Fountain, CO NPI 1225686744

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-28.