Headwaters Counseling LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

HEADWATERS COUNSELING LLC

Doing business as

Caring Heart Counseling

Practice address

899 N Logan St Ste 300
Denver, CO 80203-3155

Phone

(303) 429-5099

Fax

(303) 432-6190

NPI assigned

Sep 30, 2009

Last updated

Dec 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Whitney Sundquist Jose, LPC RPT-SNPI 1427592708

Title

Owner

Phone

(303) 393-0085

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Caring Heart Counseling Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Tax ID family

Headwaters Counseling LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Headwaters Counseling LLC

  dba Caring Heart Counseling

  • Mental Health Counselor
  • Littleton, CO
  • NPI 1144828435
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Headwaters Counseling LLC

  dba Caring Heart Counseling

  • Mental Health Counselor
  • Littleton, CO
  • NPI 1144828435
  NPPES parent name

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julia Michelle Borja, LPC

  • Professional Counselor
  • Denver, CO
  • NPI 1306385356
  Medicare reassignment NPD
• Christopher Eugene Wells, LMFT, CAC II

  • Marriage & Family Therapist
  • Lakewood, CO
  • NPI 1932406840
  Medicare reassignment NPD
• Whitney Sundquist Jose

  • Professional Counselor
  • Denver, CO
  • NPI 1427592708
  NPD Authorized official
• Kathryn Elizabeth Cole Disalle, LCSW

  • Mental Health Counselor
  • Denver, CO
  • NPI 1902219173
  NPD (past)
• Jessica Ruth Feijoo, MSW, LCSW

  • Social Worker
  • Aurora, CO
  • NPI 1427306455
  NPD (past)
• Sonia Marines Ferguson, LPC

  • Professional Counselor
  • Denver, CO
  • NPI 1518225945
  NPD (past)
• Kyle B Kelly

  • Case Manager/Care Coordinator
  • Denver, CO
  • NPI 1932250636
  NPD (past)
• Laura J Sigoloff, MA, NCC, LPC

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1417288374
  NPD (past)
• Curt Duane Spykstra, LPC

  • Professional Counselor
  • Denver, CO
  • NPI 1013180223
  NPD (past)
• Julia Wicker, MA

  • Mental Health Counselor
  • Denver, CO
  • NPI 1487953733
  NPD (past)
• Nancy Harwood Nedland

  • Counseling Psychologist
  • Milwaukee, WI
  • NPI 1336709849
  NPD (past)

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609027200000",
    "number": "1033443668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 N LOGAN ST STE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033155",
            "telephone_number": "303-429-5099",
            "fax_number": "303-432-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 N LOGAN ST STE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033155",
            "telephone_number": "303-429-5099",
            "fax_number": "303-432-6190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2490 W 26th Ave Ste 250A",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802115369",
            "country_code": "US",
            "telephone_number": "303-429-5099",
            "fax_number": "303-432-6190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1355 S Colorado Blvd Ste C-810",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802223305",
            "country_code": "US",
            "telephone_number": "720-580-5022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4860 W 80th Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800304470",
            "country_code": "US",
            "telephone_number": "720-556-3022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEADWATERS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2020-12-27",
        "certification_date": "2020-12-27",
        "status": "A",
        "authorized_official_last_name": "JOSE",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "SUNDQUIST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-393-0085",
        "authorized_official_credential": "LPC RPT-S"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67720099",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156368",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "whitney@caringheartcounseling.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "899 N Logan St Ste 300",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802033155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Caring Heart Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Caring Heart Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Mental Health Clinic/Center in Denver, CO
• Providers in Denver, CO by specialty
• Adult Mental Health Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.