Organization Active NPI

Sovereign Soul Counseling LLC

Doing business as Sovereign Soul Counseling

  • Mental Health Counselor
  • Englewood, CO
National Provider Identifier
1073382339
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SOVEREIGN SOUL COUNSELING LLC
Doing business as
Sovereign Soul Counseling
Practice address
68 Inverness LN E Ste 203a
Englewood, CO 80112-5108
Phone
(720) 248-7071
NPI assigned
Dec 28, 2023
Last updated
Dec 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Authorized official

Name
Tegan Rowley, LPCNPI 1811654767
Title
Owner
Phone
(303) 525-7660

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

68 Inverness LN E Ste 203a
Englewood, CO 80112-5108

Mailing address

68 Inverness LN E Ste 203a
Englewood, CO 80112-5108
Phone (720) 248-7071

Other names 1

  • Sovereign Soul Counseling Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240228004547 CO Part B Supplier - Clinic/Group Practice 5991140022 Receives reassigned benefits from 4 practitioners
Practice locations: Englewood, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1073382339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 INVERNESS LN E STE 203A",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125108",
            "telephone_number": "720-248-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 INVERNESS LN E STE 203A",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125108",
            "telephone_number": "720-248-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGN SOUL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "ROWLEY",
        "authorized_official_first_name": "TEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-525-7660",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sovereign Soul Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.