Colorado Couples Clinic, PC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

11335 Issued in CO

Legal business name

COLORADO COUPLES CLINIC, PC

Practice address

950 Wadsworth Blvd Ste 308
Lakewood, CO 80214-4542

Phone

(303) 956-7622

NPI assigned

Jun 28, 2017

Organization subpart

No

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

Authorized official

Name

Angela Tsiatsos Phillips, MA, LPC, NCC, ACSNPI 1407379233

Title

President

Phone

(303) 956-7622

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Angela Tsiatsos Phillips, LPC, NCC, ACS, CMT

  • Professional Counselor
  • Lakewood, CO
  • NPI 1407379233
  NPD Authorized official

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114448347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 WADSWORTH BLVD STE 308",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802144542",
            "telephone_number": "303-956-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 WADSWORTH BLVD STE 308",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802144542",
            "telephone_number": "303-956-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO COUPLES CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "TSIATSOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-956-7622",
        "authorized_official_credential": "MA, LPC, NCC, ACS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CO",
            "license": "11335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Colorado Hearing Health, Inc.
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• Mental Health Clinic/Center (Including Community Mental Health Center) in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado

• 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.