1952126062 NPI number — MINDY M RICHARD LPC COUNSELING SERVICES LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952126062 NPI number — MINDY M RICHARD LPC COUNSELING SERVICES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MINDY M RICHARD LPC COUNSELING SERVICES LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952126062
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/22/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
35654 E 7TH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WATKINS
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80137-8925
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-422-0516
Provider Business Mailing Address Fax Number:
303-364-2124

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
35654 E 7TH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WATKINS
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80137-8925
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-422-0516
Provider Business Practice Location Address Fax Number:
303-364-2124
Provider Enumeration Date:
11/22/2024

Additional Information

Authorized Official

Authorized Official Last Name:
RICHARD
Authorized Official First Name:
MINDY
Authorized Official Middle Name:
M
Authorized Official Title or Position:
OWNER/THERAPIST
Authorized Official Telephone Number:
303-422-0516

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1821166257 . This is a "PHCS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1821166257 . This is a "MAGELLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1821166257 . This is a "BEACON" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1821166257 . This is a "BEST CARE EAP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1821166257 . This is a "CARELON/ELEVANCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1821166257 . This is a "FIRST HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1821166257 . This is a "CAREBRIDGE EAP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1821166257 . This is a "OPTUM/UNITED" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1821166257 . This is a "MUTUAL OF OMAHA EAP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1821166257 . This is a "KAISER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1821166257 . This is a "MULTIPLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1821166257 . This is a "CURALINC EAP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1821166257 . This is a "EVERNORTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1821166257 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 18211661257 . This is a "BLUE CROSS BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 18281166257 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".




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