Active NPI
Safe Harbours Counseling PLLC
- Marriage & Family Therapist
- Thornton, CO
National Provider Identifier
1124899141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- SAFE HARBOURS COUNSELING PLLC
- Practice address
- 12021 Pennsylvania St Ste 109a
Thornton, CO 80241-3151 - Phone
- (720) 842-2400
- NPI assigned
- Jan 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Althea M Bakke-Lysaker, PHD
- Title
- Owner
- Phone
- (720) 842-2400
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
12021 Pennsylvania St Ste 109a
Thornton, CO 80241-3151
Mailing address
12021 Pennsylvania St Ste 109a
Thornton, CO 80241-3151
Phone (720) 842-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MFT.0002278 | Other | CO | LICENSE NO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12021 Pennsylvania St
Ste 109A
Thornton, CO 80241
Phone (720) 842-2400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Thornton, CO
- NPI 1154949311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704758400000",
"number": "1124899141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12021 PENNSYLVANIA ST STE 109A",
"city": "THORNTON",
"state": "CO",
"postal_code": "802413151",
"telephone_number": "720-842-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12021 PENNSYLVANIA ST STE 109A",
"city": "THORNTON",
"state": "CO",
"postal_code": "802413151",
"telephone_number": "720-842-2400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFE HARBOURS COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-09",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A",
"authorized_official_last_name": "BAKKE-LYSAKER",
"authorized_official_first_name": "ALTHEA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "720-842-2400",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NO",
"identifier": "MFT.0002278",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.