Indepth Therapy, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

INDEPTH THERAPY, LLC

Practice address

7400 W Jefferson Ave Ste 111
Lakewood, CO 80235-2001

Phone

(720) 538-4357

Fax

(720) 232-2303

NPI assigned

Sep 27, 2020

Organization subpart

Yes

Parent organization

INDEPTH THERAPY, LLCAs reported in NPPES

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

Authorized official

Name

Bethany Blankenheim, LPCNPI 1255463386

Title

Owner

Phone

(720) 232-2303

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Indepth Therapy3 organizations share this tax ID, including this one

Part of

Indepth Therapy

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Indepth Therapy, LLC

  • Professional Counselor
  • Broomfield, CO
  • NPI 1003275439
  NPD tax ID
• Indepth Therapy, LLC

  • Professional Counselor
  • Fort Collins, CO
  • NPI 1558978452
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Indepth Therapy, LLC

  • Professional Counselor
  • Broomfield, CO
  • NPI 1003275439
  NPPES parent name

Practitioners 2

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

• Bethany Blankenheim, LPC, CACII

  • Professional Counselor
  • Broomfield, CO
  • NPI 1255463386
  NPD (past) Authorized official
• Maria Niichel

  • Mental Health Counselor
  • Broomfield, CO
  • NPI 1295326049
  NPD

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

{
    "created_epoch": "1601164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1124635867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 DEPOT HILL RD # 201",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800206723",
            "telephone_number": "720-232-2303",
            "fax_number": "720-358-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 W JEFFERSON AVE STE 111",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352001",
            "telephone_number": "720-538-4357",
            "fax_number": "720-232-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPTH THERAPY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDEPTH THERAPY, LLC",
        "enumeration_date": "2020-09-27",
        "last_updated": "2023-09-06",
        "certification_date": "2020-09-27",
        "status": "A",
        "authorized_official_last_name": "BLANKENHEIM",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-232-2303",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59112557",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.