Active NPI
LCL Wellness, LLC
- Psychiatry Physician
- Denver, CO
National Provider Identifier
1023639929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- LCL WELLNESS, LLC
- Practice address
- 7550 W Yale Ave Ste A155
Denver, CO 80227-3487 - Phone
- (720) 984-2679
- NPI assigned
- May 1, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- L Charolette Lippolis, DO
- Title
- Owner
- Phone
- (720) 984-2679
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
7550 W Yale Ave Ste A155
Denver, CO 80227-3487
Mailing address
PO Box 86
Evergreen, CO 80437-0086
Phone (720) 984-2687
National Provider Directory
National Provider DirectoryLocations
7550 W Yale Ave
Ste A155
Lakewood, CO 80227
Phone (720) 980-2479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588291200000",
"number": "1023639929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 86",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804370086",
"telephone_number": "720-984-2687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7550 W YALE AVE STE A155",
"city": "DENVER",
"state": "CO",
"postal_code": "802273487",
"telephone_number": "720-984-2679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LCL WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-01",
"last_updated": "2020-05-01",
"certification_date": "2020-05-01",
"status": "A",
"authorized_official_last_name": "LIPPOLIS",
"authorized_official_first_name": "L",
"authorized_official_middle_name": "CHAROLETTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "720-984-2679",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"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 May 1, 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.