CRAZY WISDOM JOURNEY, LLC (NPI# 1689951725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689951725 |
| Entity Type | Organization |
| Organization Name | CRAZY WISDOM JOURNEY, LLC |
| Practice Address |
5921 Middlefield Rd Ste 100 Littleton CO 80123-2860 |
| Practice Telephone | 3035150987 |
| Practice Fax Number | 7207267745 |
| Mailing Telephone | 3035150987 |
| Mailing Fax Number | 7207267745 |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2019-07-20 |
| Authorized Official Name | DEBRA VELETA FOSTER (OWNER/PROVIDER) |
| Authorized Official Telephone | 3035150987 |
| Authorized Official Credential | MAC, LAC, LPC-MH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI | 1497915706 | 01 | |
| GROUP/ORGANIZATIONAL NPI | 1689951725 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Crazy Wisdom Journey, LLC | 5921 Middlefield Rd, Ste. 100, Littleton, CO 80123 |
| Street Address |
5921 MIDDLEFIELD RD STE 100 |
| City | LITTLETON |
| State | CO |
| Zip Code | 80123-2860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497915706 | Debra Veleta Foster | Counselor | 5921 Middlefield Rd Ste 100, Littleton, CO 80123-2860 | 2008-06-10 |
| 1063051415 | Morgan Dingle | Counselor | 5921 Middlefield Rd Ste 100, Littleton, CO 80123-2860 | 2020-01-02 |
| 1881243566 | Annalisa Morgione | Counselor | 5921 Middlefield Rd Ste 100, Littleton, CO 80123-2860 | 2019-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053823708 | Audrey Marie Dertien | Physical Therapist | 8160 W Coal Mine Ave, Littleton, CO 80123 | 2017-11-02 |
| 1215472832 | Littleton Counseling Associates Inc | Social Worker | 5931 S. Middlefield Rd., Suite 102, Littleton, CO 80123 | 2017-01-05 |
| 1376099986 | Catalyst Family Health LLC | Acupuncturist | 8501 W. Union Ave., #6, Littleton, CO 80123 | 2016-09-01 |
| 1760938476 | Evan Ingerson | Physical Therapist | 8500 W Crestline Avenue, Suite G-5, Littleton, CO 80123 | 2016-09-01 |
| 1114307899 | Denver Anesthesia Dentistry | Dentist | 5420 Lakeshore Dr, Littleton, CO 80123 | 2015-06-08 |
| 1053718064 | Mary Grace Helfer | Specialist/Technologist | 9585 West Powers Circle, Littleton, CO 80123 | 2014-11-20 |
| 1497097133 | Aaron R Beck | Chiropractor | 7735 West Long Dr., Suite 11, Littleton, CO 80123 | 2013-03-20 |
| 1609154145 | Ultimate Health Medical Center Inc | Chiropractor | 7735 W. Long Dr., Suite 11, Littleton, CO 80123 | 2011-08-02 |
| 1487894036 | Stephanie Erin Patterson | Licensed Practical Nurse | 5297 S Wadsworth Blvd, Southwest Medical Offices, Littleton, CO 80123 | 2009-02-23 |
| 1518122274 | Orthopedic Rehab, Inc. | Prosthetic/Orthotic Supplier | 5066 S. Wadsworth Way, Ste 128, Littleton, CO 80123 | 2008-07-22 |
| Find all providers in zip 80123 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457968646 | Reginald A Moore | Counselor | 2878 W Riverwalk Cir Unit B, Littleton, CO 80123-8919 | 2020-09-30 |
| 1699391466 | Rebecca Milner | Counselor | 4700 W Mineral Ave Apt 205, Littleton, CO 80128-2631 | 2020-06-17 |
| 1215560594 | Holly Marie Laut | Counselor | 6775 S Field St Apt 206, Littleton, CO 80128-4093 | 2020-02-14 |
| 1831657113 | Bienville Counseling Pllc | Counselor | 8101 Shaffer Pkwy Ste 204, Littleton, CO 80127-4109 | 2019-03-06 |
| 1578047395 | Crystal Schranz | Counselor | 5941 Middlefield Rd Ste 201, Littleton, CO 80123-7937 | 2018-09-18 |
| 1912485731 | John M Rogers | Counselor | 2483 W Long Cir, Littleton, CO 80120-4321 | 2018-08-02 |
| 1649768813 | Ilene Brandon | Counselor | 8191 Southpark Ln Unit 201, Littleton, CO 80120-4641 | 2018-04-24 |
| 1912409566 | Kathy Higgins Lpc LLC | Counselor | 5912 S Cody St Ste 305, Littleton, CO 80123-9546 | 2018-02-28 |
| 1417455890 | Cynthia Cline Mcrae | Counselor | 7921 Southpark Plaza, Grace Counseling, Suite 204, Littleton, CO 80120 | 2018-01-31 |
| 1457859654 | Samuel Clay Cade | Counselor | 6350 W Coal Mine Ave, Littleton, CO 80123-4501 | 2018-01-23 |
| Find all providers in LITTLETON | ||||
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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.