1952126062 NPI number — MINDY M RICHARD LPC COUNSELING SERVICES LLC

Table of content: KEYLA NIVAL (NPI 1821886920)

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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