Organization Active NPI

Sophia Center for Healing

  • Marriage & Family Therapist
  • Denver, CO
National Provider Identifier
1013260116
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
917 Issued in CO
Legal business name
SOPHIA CENTER FOR HEALING
Practice address
1776 S Jackson St Ste 810
Denver, CO 80210-3807
Phone
(720) 457-3342
NPI assigned
Oct 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Glick, M.A., M.S.C.,LMFT
Title
Licensed Marriage & Family Therapis
Phone
(720) 457-3342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 917 CO Primary

Addresses

Primary practice location

1776 S Jackson St Ste 810
Denver, CO 80210-3807

Mailing address

1776 S Jackson St Ste 810
Denver, CO 80210-3807

National Provider Directory

National Provider Directory

Locations

1776 S Jackson St
Ste 810
Denver, CO 80210
Phone (303) 807-0562

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1013260116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 S JACKSON ST STE 810",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 S JACKSON ST STE 810",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103807",
            "telephone_number": "720-457-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPHIA CENTER FOR HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "GLICK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "LICENSED MARRIAGE & FAMILY THERAPIS",
        "authorized_official_telephone_number": "720-457-3342",
        "authorized_official_credential": "M.A., M.S.C.,LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.