Organization Active NPI

Ponderosa Counseling Center LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Parker, CO
National Provider Identifier
1043737315
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN0004453-NP Issued in CO
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

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Laurie Lee Reeder, NPNPI 1669551388
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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.