Alchemy Counseling, Consultation, and Wellness
Organization Active NPI Professional Counselor · Fort Collins, CO
NPI 1003672387 · NPPES record last updated Feb 26, 2024
Key facts
- NPI
- 1003672387
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- Legal business name
- ALCHEMY COUNSELING, CONSULTATION, AND WELLNESS
- Practice address
- 215 Mathews St Ste 300
Fort Collins, CO 80524-3451 - Phone
- (970) 217-7796
- NPI assigned
- Feb 26, 2024
- Organization subpart
- No
Authorized official
- Name
- Ashley Shaw, LPC
- Title
- Executive Director
- Phone
- (970) 217-7796
Corporate family (same tax ID) 1
Practitioners 3
-
Ashley R Shaw, MA
-
Jesse Hazel, LCSWA, LCASA
National Provider Directory
- Tax ID family
- Alchemy Counseling Consultation and Wellness
Locations
215 Mathews St
Ste 300
Fort Collins, CO 80524
Phone (970) 217-7796
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | Yes | ||
| Clinical Social Worker |
1041C0700X |
Addresses
Primary practice location
215 Mathews St Ste 300
Fort Collins, CO 80524-3451
Mailing address
2444 Crown View Dr
Fort Collins, CO 80526-5821
Phone (970) 217-7796
Other practice location 1
5335 W 48th Ave Ste 500
Denver, CO 80212-2732
Phone (970) 217-7796
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740653906 | Medicaid | CO | |
| 1972053973 | Medicaid | CO | |
| 1023635190 | Medicaid | CO |
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All providers in Fort Collins, CO · Professional Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.