Active NPI
Divergence Mental Health Group LLC
- Mental Health Counselor
- Highlands Ranch, CO
National Provider Identifier
1043929243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- DIVERGENCE MENTAL HEALTH GROUP LLC
- Practice address
- 640 Plaza Dr Ste 340
Highlands Ranch, CO 80129-2399 - Phone
- (720) 310-8786
- NPI assigned
- Nov 16, 2022
- 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
- Ashley Lynn Edwardson, LPC
- Title
- Owner
- Phone
- (847) 894-7288
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
640 Plaza Dr Ste 340
Highlands Ranch, CO 80129-2399
Mailing address
4420 Lyndenwood Cir
Highlands Ranch, CO 80130-8807
Phone (847) 894-7288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90000201368 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
155 S Madison St
Ste 304
Denver, CO 80209
Phone (201) 691-4102
640 Plaza Dr
Ste 340
Highlands Ranch, CO 80129
Phone (720) 261-1410
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Highlands Ranch, CO
- NPI 1720665573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771372800000",
"number": "1043929243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4420 LYNDENWOOD CIR",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801308807",
"telephone_number": "847-894-7288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 PLAZA DR STE 340",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292399",
"telephone_number": "720-310-8786"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVERGENCE MENTAL HEALTH GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-16",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A",
"authorized_official_last_name": "EDWARDSON",
"authorized_official_first_name": "ASHLEY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-894-7288",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90000201368",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.