Organization Active NPI

Envision Yourself Therapy LLC

  • Community/Behavioral Health Agency
  • Parker, CO
National Provider Identifier
1134906035
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ENVISION YOURSELF THERAPY LLC
Practice address
18695 Pony Express Dr Unit 265
Parker, CO 80134-1511
Phone
(720) 505-3483
Fax
(720) 740-2688
NPI assigned
Sep 13, 2023
Last updated
Jan 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Heidi Lynn Harmon, LCSWNPI 1851658348
Title
LCSW
Phone
(720) 505-3483

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

18695 Pony Express Dr Unit 265
Parker, CO 80134-1511

Mailing address

18695 Pony Express Dr Unit 265
Parker, CO 80134-1511
Phone (720) 505-3483

Other practice location 1

2425 Golden Hill Rd # 106-405
Paso Robles, CA 93446-7038
Phone (720) 505-3483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231106001674 CO Part B Supplier - Clinic/Group Practice 0143677674 Receives reassigned benefits from 1 practitioner
Practice locations: Aurora, CO

National Provider Directory

National Provider Directory
Tax ID family
Envision Yourself Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2425 Golden Hill Rd
Paso Robles, CA 93446
Phone (720) 505-3483

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1134906035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18695 PONY EXPRESS DR UNIT 265",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801341511",
            "telephone_number": "720-505-3483",
            "fax_number": "720-740-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18695 PONY EXPRESS DR UNIT 265",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801341511",
            "telephone_number": "720-505-3483",
            "fax_number": "720-740-2688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2425 Golden Hill Rd # 106-405",
            "address_purpose": "LOCATION",
            "city": "Paso Robles",
            "state": "CA",
            "postal_code": "934467038",
            "country_code": "US",
            "telephone_number": "720-505-3483",
            "fax_number": "720-740-2688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENVISION YOURSELF THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "720-505-3483",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.