COLORADO PROFESSIONAL PSYCHOLOGICAL GROUP, P.C. (NPI# 1992893598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992893598 |
| Entity Type | Organization |
| Organization Name | COLORADO PROFESSIONAL PSYCHOLOGICAL GROUP, P.C. |
| Practice Address |
4100 E Mississippi Ave Suite 600 Denver CO 80246-3048 |
| Practice Telephone | 3033800114 |
| Practice Fax Number | 3037593515 |
| Mailing Telephone | 3033800114 |
| Mailing Fax Number | 3037593515 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KAREN LEE HIGGINBOTHAM (PRESIDENT/CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 3033800114 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
1183 | CO | Ambulatory Health Care Facilities |
| X | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
1183 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 07011839 | 05 |
| Street Address |
4100 E MISSISSIPPI AVE SUITE 600 |
| City | DENVER |
| State | CO |
| Zip Code | 80246-3048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801334149 | Christine Sheldon | Marriage & Family Therapist | 4100 E Mississippi Ave, Suite 1300, Denver, CO 80246-3048 | 2017-02-07 |
| 1811443294 | The Cataract Vision Institute LLC | Clinic/Center | 4100 E Mississippi Ave, Suite 105, Denver, CO 80246-3048 | 2016-08-26 |
| 1215100201 | Sandra Marie Malakauskas | Internal Medicine | 4100 E Mississippi Ave, Denver, CO 80246-3048 | 2008-04-10 |
| 1649472739 | Randall Alan Pierce | Chiropractor | 4100 E Mississippi Ave, Suite 310, Denver, CO 80246-3048 | 2007-06-01 |
| 1558400036 | The Lasik Vision Institute, LLC | Optometrist | 4100 E Mississippi Ave, Ste 105, Denver, CO 80246-3048 | 2007-02-05 |
| 1982791620 | Karen Lee Higginbotham | Psychologist | 4100 E Mississippi Ave, Suite 600, Denver, CO 80246-3048 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043872377 | Anisha M Boggiano | Occupational Therapy Assistant | 4500 S Cherry Creek Dr, Suite 710, Denver, CO 80246 | 2019-07-08 |
| 1558824961 | Whitney Lynn Frisch | Licensed Practical Nurse | 4500 Cherry Creek S. Drive, Suite 710, Glendale, CO 80246 | 2019-04-11 |
| 1952865834 | Toni Qualantone | Counselor | 720 S Colorado Blvd., North Tower Penthouse, Suite 1353n, Denver, CO 80246 | 2019-01-25 |
| 1790255313 | Core Dermatology, Pllc | Dermatology | 425 South Cherry Suite 907, Glendale, CO 80246 | 2018-11-26 |
| 1689160194 | Alexia Bounkhong | Optometrist | 850 S Dahlia Circle, Apt F105, Denver, CO 80246 | 2018-07-09 |
| 1811494214 | Freedom Career Services LLC | Case Manager/Care Coordinator | 5300 E Cherry Creek South Dr Apt 522, Denver, CO 80246 | 2018-04-11 |
| 1801398094 | Megan Reynolds | Counselor | 1017 S. Birch St., B106, Glendale, CO 80246 | 2018-03-02 |
| 1295242014 | Seth Cameron Bender | Counselor | 720 S. Colorado Blvd., North Penthouse Tower, Suite 1353n, Denver, CO 80246 | 2018-01-02 |
| 1679093991 | Jeffery Washington | Counselor | 1066 S. Dahlia St. E32, Denver, CO 80246 | 2017-06-27 |
| 1013457795 | Jeff Johnston Dds PC | Dentist | 4500 East Cherry Creek Dr South, 100, Denver, CO 80246 | 2017-03-01 |
| Find all providers in zip 80246 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609426386 | Sandstone Care Colorado, LLC | Clinic/Center | 7555 E Hampden Ave Ste 103, Denver, CO 80231-4832 | 2019-09-16 |
| 1588141451 | Datg LLC | Clinic/Center | 950 N Logan St Ste 301, Denver, CO 80203-3009 | 2018-07-24 |
| 1447746680 | Healing Rock Counseling, LLC | Clinic/Center | 5100 E Warren Ave Apt D, Denver, CO 80222-5135 | 2018-07-10 |
| 1144785775 | Bluebird Counseling LLC | Clinic/Center | 2247 Federal Blvd, Denver, CO 80211-4641 | 2019-02-07 |
| 1063949923 | Denver Child and Adolescent Counseling LLC | Clinic/Center | 2401 S Downing St, Denver, CO 80210-5811 | 2017-05-22 |
| 1689033342 | Raab Counseling & Consulting Services, Pllc | Clinic/Center | 1776 S Jackson St, Suite 802, Denver, CO 80210-3801 | 2016-02-23 |
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| 1053933135 | Sandstone Care Cos, LLC | Clinic/Center | 5731 N Academy Blvd, Colorado Springs, CO 80918-3684 | 2020-05-12 |
| 1043831886 | Valtina, LLC | Clinic/Center | 7405 W Us Highway 50 Ste 105, Salida, CO 81201-9354 | 2020-05-04 |
| 1124659206 | Oasis for Change, LLC | Clinic/Center | 439 Stoney Brook Rd, Fort Collins, CO 80525-8705 | 2020-01-28 |
| 1215575147 | Greeley Family Counseling | Clinic/Center | 1122 9th St Ste 201, Greeley, CO 80631-3277 | 2019-12-10 |
| 1881235539 | New Visions Recovery Solutions | Clinic/Center | 225 Cheyenne Blvd, Colorado Springs, CO 80905-2521 | 2019-10-03 |
| 1063066579 | Seity, LLC | Clinic/Center | 323 3rd Ave Ste 200, Longmont, CO 80501-5969 | 2019-08-01 |
| 1174072672 | Kady Williams LLC | Clinic/Center | 147 S Rancho Vista Dr, Pueblo, CO 81007-4047 | 2016-09-25 |
| 1619300720 | Dynamic Directions Counseling Inc | Clinic/Center | 7000 S Broadway Ste 1a, Centennial, CO 80122-1064 | 2013-08-12 |
| 1558975813 | Family Support Center of Colorado, LLC | Clinic/Center | 6160 Tutt Blvd Ste 120, Colorado Springs, CO 80923-3503 | 2020-09-03 |
| 1093329302 | Family Support Center of Colorado, LLC | Clinic/Center | 155 Printers Pkwy Ste 120, Colorado Springs, CO 80910-6101 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
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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.