INDEPTH THERAPY, LLC (NPI# 1558978452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558978452 |
| Entity Type | Organization |
| Organization Name | INDEPTH THERAPY, LLC |
| Practice Address |
3307 S College Ave Unit 217 Fort Collins CO 80525-4196 |
| Mailing Address |
1008 Depot Hill Rd # 201 Broomfield CO 80020-6723 |
| Practice Telephone | 7205384357 |
| Practice Fax Number | 7203580846 |
| Mailing Telephone | 7202322303 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Authorized Official Name | BETHANY BLANKENHEIM (OWNER) |
| Authorized Official Telephone | 7202322303 |
| 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 |
|---|---|---|---|---|
| 1124635867 | Indepth Therapy, LLC | Counselor | 7400 W Jefferson Ave Ste 111, Lakewood, CO 80235-2001 | 2020-09-27 |
| 1003275439 | Indepth Therapy, LLC | Psychologist | 1008 Depot Hill Rd Ste 200, Broomfield, CO 80020-6724 | 2016-02-12 |
| Street Address |
3307 S COLLEGE AVE UNIT 217 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525-4196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
| 1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
| 1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
| 1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
| 1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
| 1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
| Find all providers in zip 80525 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797988 | Brittany Alley | Counselor | 120 S Bryan Ave Apt 4, Fort Collins, CO 80521-2366 | 2020-07-13 |
| 1962021501 | Cheri Fisher | Counselor | 105 Peterson St, Fort Collins, CO 80524-2917 | 2020-04-14 |
| 1467003350 | Shanna Tipton | Counselor | 924 Glenmoor Dr, Fort Collins, CO 80521-3208 | 2019-09-23 |
| 1114577087 | Rachel Ann Grohs | Counselor | 4025 Automation Way Ste 2, Fort Collins, CO 80525-3446 | 2019-09-12 |
| 1275091118 | Cameron Butler | Counselor | 144 N Mason St Unit 6, Fort Collins, CO 80524-7103 | 2019-03-11 |
| 1710455217 | Amy Lyn Davies | Counselor | 2726 Illinois Dr Apt 203, Fort Collins, CO 80525-3689 | 2018-11-02 |
| 1700378908 | Savannah Rose Cormier | Counselor | 375 E Horsetooth Rd Bldg 3101, Fort Collins, CO 80525 | 2018-06-04 |
| 1649789264 | Jennifer Kelley | Counselor | 1507 Riverside Ave Ste 202, Fort Collins, CO 80524-4382 | 2017-09-26 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| 1184174773 | Alison Butler | Counselor | 320 W. Olive St, Fort Collins, CO 80521 | 2016-10-07 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
Please comment or provide details below to improve the information on INDEPTH THERAPY, LLC.
| 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.