Individual provider Active NPI

Laurie Tonelli, PH.D.

  • Counseling Psychologist
  • Littleton, CO
National Provider Identifier
1124409693
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PSY.0004245 Issued in CO
Practice address
6004 S Kipling Pkwy Ste 212
Littleton, CO 80127-5544
Phone
(303) 997-2491
NPI assigned
Jun 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PSY.0004245 CO Primary

Addresses

Primary practice location

6004 S Kipling Pkwy Ste 212
Littleton, CO 80127-5544

Mailing address

6088 S Marshall Dr
Littleton, CO 80123-3750
Phone (303) 990-4177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201014002167 CO Practitioner - Clinical Psychologist 2860812740 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6004 S Kipling Pkwy
Suite 212
Littleton, CO 80127-5544
Phone (303) 997-2491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Behavioral Care, Inc. CurrentSince Oct 6, 2020 Accepting new patients
Glorious Unfolding Psychological Services, LLC CurrentSince Mar 16, 2024 Accepting new patients

Locations

950 Wadsworth Blvd
Ste 202
Lakewood, CO 80214
Phone (303) 257-7047

6004 S Kipling Pkwy
Ste 212
Littleton, CO 80127
Phone (303) 997-2491

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1124409693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6088 S MARSHALL DR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801233750",
            "telephone_number": "303-990-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6004 S KIPLING PKWY STE 212",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801275544",
            "telephone_number": "303-997-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONELLI",
        "first_name": "LAURIE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-10",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "PSY.0004245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.