Mosaic Therapy Collective PLLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

MOSAIC THERAPY COLLECTIVE PLLC

Practice address

8096 Brighton Road
Unit #326
Dupont, CO 80024

Phone

(720) 248-7318

Fax

(720) 806-5612

NPI assigned

Aug 30, 2024

Organization subpart

No

Name

Dr. Brooke Powers, PH.D., HSP-P, RYTNPI 1245941699

Title

Ceo; Licensed Psychologist

Phone

(720) 248-7318

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brooke Powers

  • Counseling Psychologist
  • Boone, NC
  • NPI 1245941699
  Medicare reassignment NPD Authorized official CO · COUNSELING
• Pauline Freud, PHD

  • Counseling Psychologist
  • Denver, CO
  • NPI 1588448831
  Medicare reassignment NPD CO · COUNSELING
• Melissa Jo Phifer, MSW

  • Clinical Social Worker
  • Fort Lupton, CO
  • NPI 1801529532
  Medicare reassignment NPD CO
• Aspen Young

  • Psychologist
  • Thornton, CO
  • NPI 1700791712
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in CO

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 30, 2024.

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1093549040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "DUPONT",
            "state": "CO",
            "postal_code": "800240326",
            "telephone_number": "720-248-7318",
            "fax_number": "720-806-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8096 BRIGHTON ROAD",
            "address_2": "UNIT #326",
            "city": "DUPONT",
            "state": "CO",
            "postal_code": "80024",
            "telephone_number": "720-248-7318",
            "fax_number": "720-806-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC THERAPY COLLECTIVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "CEO; LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "720-248-7318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., HSP-P, RYT"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.