Active NPI
Ponderosa Counseling Center LLC
- Psychiatric/Mental Health Nurse Practitioner
- Parker, CO
National Provider Identifier
1043737315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APN0004453-NP
- Legal business name
- PONDEROSA COUNSELING CENTER LLC
- Practice address
- 19753 E Pikes Peak Ave
Suite 202
Parker, CO 80138 - Phone
- (720) 542-3487
- Fax
- (720) 542-3566
- NPI assigned
- Aug 27, 2017
- 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
- Ms. Laurie Lee Reeder, NP
- Title
- Nurse Practitioner
- Phone
- (720) 951-1476
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN0004453-NP | CO | Primary |
Addresses
Primary practice location
19753 E Pikes Peak Ave
Suite 202
Parker, CO 80138
Mailing address
19753 E Pikes Peak Ave Ste 202
Parker, CO 80138-7435
Phone (720) 542-3487
National Provider Directory
National Provider DirectoryLocations
19753 E Pikes Peak Ave
Ste 202
Parker, CO 80138
Phone (720) 542-3487
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Parker, CO
- NPI 1669551388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1043737315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19753 E PIKES PEAK AVE STE 202",
"city": "PARKER",
"state": "CO",
"postal_code": "801387435",
"telephone_number": "720-542-3487",
"fax_number": "720-542-3566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19753 E PIKES PEAK AVE",
"address_2": "SUITE 202",
"city": "PARKER",
"state": "CO",
"postal_code": "80138",
"telephone_number": "720-542-3487",
"fax_number": "720-542-3566"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PONDEROSA COUNSELING CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-27",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "REEDER",
"authorized_official_first_name": "LAURIE",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "720-951-1476",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "APN0004453-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parker, CO
- Polaris Partners Counseling and Consulting LLC
- Polaris Partners Counseling and Consulting LLC
- Polaris Partners Counseling and Consulting LLC
- Aaron Bryce Pollock, MD
- Kathryn Ann Polovitz, M.D.
- Judy Carol Ponsford, NP NURSE PRACTITIONE
- Kaitlin Ponzio, MD
- Keri Poole
- Paola Porrone, D.C.
- Porter Adventist Health System (Neurosurgery One Parker)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.