INDEPTH THERAPY, LLC (NPI# 1124635867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124635867 |
| Entity Type | Organization |
| Organization Name | INDEPTH THERAPY, LLC |
| Practice Address |
7400 W Jefferson Ave Ste 111 Lakewood CO 80235-2001 |
| Mailing Address |
1008 Depot Hill Rd # 201 Broomfield CO 80020-6723 |
| Practice Telephone | 7205384357 |
| Practice Fax Number | 7202322303 |
| Mailing Telephone | 7202322303 |
| Mailing Fax Number | 7203580846 |
| Enumeration Date | 2020-09-27 |
| Last Update Date | 2020-09-27 |
| Authorized Official Name | BETHANY BLANKENHEIM (OWNER) |
| Authorized Official Telephone | 7202322303 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | Y |
| Parent Organization Name | INDEPTH THERAPY, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 59112557 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978452 | Indepth Therapy, LLC | Counselor | 3307 S College Ave Unit 217, Fort Collins, CO 80525-4196 | 2020-09-25 |
| 1003275439 | Indepth Therapy, LLC | Psychologist | 1008 Depot Hill Rd Ste 200, Broomfield, CO 80020-6724 | 2016-02-12 |
| Street Address |
7400 W JEFFERSON AVE STE 111 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80235-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295244051 | Nicole Gan | Behavioral Analyst | 7220w. Jefferson Ave Suite 202, Lakewood, CA 80235 | 2017-09-25 |
| 1336684059 | Preferred Homecare Infusion, LLC | Durable Medical Equipment & Medical Supplies | 6900 W Jefferson Ave Ste 130, Lakewood, CO 80235 | 2017-01-04 |
| 1457501637 | Patrick John Rydell | Speech-Language Pathologist | 3636 S. Independence St., Lakewood, CO 80235 | 2008-09-24 |
| 1164631644 | Carole M. Emanuel | Dentist | 7373 West Jefferson Ave., Suite #304, Lakewood, CO 80235 | 2007-05-22 |
| 1235259680 | Christopher David Elson | Dentist | 7373 W. Jefferson Ave #403, Lakewood, CO 80235 | 2007-03-30 |
| 1750420840 | Kelly Z Crim | Counselor | 3900 S. Wadsworth Blvd Suite 360, Lakewood, CO 80235 | 2007-02-05 |
| 1750469714 | Paul Henry Arendt | Dentist | 7373 W Jefferson Ave #304, Lakewood, CO 80235 | 2006-11-01 |
| 1750491544 | Sharon Diane Hilderbrant | Psychologist | 7220 W Jefferson Ave, Suite 307, Lakewood, CO 80235 | 2006-08-30 |
| 1346766466 | Jayden Brooke Cornejo | Behavior Technician | 7220 W Jefferson Ave Ste 202, Lakewood, CO 80235 | 2017-08-21 |
| 1114478575 | Brennan Bonati | Dentist | 7373 W Jefferson Ave, Lakewood, CO 80235 | 2016-10-20 |
| Find all providers in zip 80235 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437770112 | Michael Andreas Sainz Sr. | Counselor | 7400 W Jefferson Ave, Lakewood, CO 80235-2001 | 2020-05-04 |
| 1811535669 | Ashley Kleinman Martinez | Counselor | 1658 Cole Blvd Ste 295, Lakewood, CO 80401-3312 | 2019-12-11 |
| 1811534290 | Olga Valeriivna Mikhnyuk | Counselor | 274 Union Blvd Ste 450, Lakewood, CO 80228-1836 | 2019-12-05 |
| 1649814732 | Laurie Holland | Counselor | 1175 Iris St, Lakewood, CO 80215-4632 | 2019-10-31 |
| 1881250009 | Jennifer Roche-sheets | Counselor | 20133 Jersey Ave, Lakewood, CA 90715-1047 | 2019-05-13 |
| 1639631799 | Cheryl Ann Dahl-monahan | Counselor | 525 Route 70 Ste A3, Lakewood, NJ 08701-5847 | 2019-04-05 |
| 1477046381 | Dov Waidenbaum | Counselor | 60 Canary Dr, Lakewood, NJ 08701-5455 | 2018-06-14 |
| 1205344314 | Debora Liba Yoffe | Counselor | 119 Courtney Rd, Lakewood, NJ 08701-1855 | 2018-01-11 |
| 1760994792 | Isaac Schechter | Counselor | 1 Primrose Dr, Lakewood, NJ 08701-3283 | 2017-10-31 |
| 1689195562 | Amanda Marie Reider | Counselor | 1075 S Yukon St Lakewood #100, Lakewood, CO 80226 | 2017-06-30 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.