NPIMap

Organization Active NPI

Children's Wellness Center of Colorado, PLLC

  • Professional Counselor
  • Centennial, CO
National Provider Identifier
1023466893
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6486 Issued in CO
Legal business name
CHILDREN'S WELLNESS CENTER OF COLORADO, PLLC
Practice address
12150 E Briarwood Ave Unit 202
Centennial, CO 80112-6755
Phone
(720) 662-7862
Fax
(720) 573-2862
NPI assigned
Jun 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Authorized official

Name
Christine Garcia, MA, LPCNPI 1215193404
Title
Co-Owner & Psychotherapist
Phone
(720) 662-7862

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 6486 CO Primary

Addresses

Primary practice location

12150 E Briarwood Ave Unit 202
Centennial, CO 80112-6755

Mailing address

12150 E Briarwood Ave Unit 202
Centennial, CO 80112-6755
Phone (720) 662-7862

Other identifiers 2

IdentifierTypeStateIssuer
1023466893MedicaidCO
60125080MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cwcc@cwccolorado.hush.com

National Provider Directory

National Provider Directory
Tax ID family
Children's Wellness Center of Colorado PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12150 E Briarwood Ave
Unit 112
Centennial, CO 80112
Phone (720) 662-7862

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1023466893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12150 E BRIARWOOD AVE UNIT 202",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801126755",
            "telephone_number": "720-662-7862",
            "fax_number": "720-573-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 E BRIARWOOD AVE UNIT 202",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801126755",
            "telephone_number": "720-662-7862",
            "fax_number": "720-573-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S WELLNESS CENTER OF COLORADO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CO-OWNER & PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "720-662-7862",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "6486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023466893",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60125080",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwcc@cwccolorado.hush.com",
            "affiliation": "N",
            "address_1": "12150 E Briarwood Ave Unit 202",
            "city": "Centennial",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801126755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.