Headwaters Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HEADWATERS COUNSELING LLC

Practice address

8089 S Lincoln St Ste 206
Littleton, CO 80122-2720

Phone

(303) 429-5099

Fax

(303) 432-6190

NPI assigned

Oct 9, 2020

Organization subpart

Yes

Parent organization

HEADWATERS COUNSELING, LLCAs reported in NPPES

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

Authorized official

Name

Whitney Sundquist Jose, MA LPC RPT-SNPI 1427592708

Title

Owner

Phone

(303) 393-0085

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Caring Heart Counseling Doing business as

Electronic endpoints 1

Tax ID family

Headwaters Counseling LLC2 organizations share this tax ID, including this one

Part of

Headwaters Counseling LLC

Other organizations with this tax ID 1

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

• Headwaters Counseling LLC

  • Adult Mental Health Clinic/Center
  • Denver, CO
  • NPI 1033443668
  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.

• Headwaters Counseling LLC

  • Adult Mental Health Clinic/Center
  • Denver, CO
  • NPI 1033443668
  NPPES parent name

Practitioners 1

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

• Whitney Sundquist Jose

  • Professional Counselor
  • Denver, CO
  • NPI 1427592708
  NPD Authorized official

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1144828435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 N LOGAN ST STE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033155",
            "telephone_number": "303-429-5099",
            "fax_number": "303-432-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8089 S LINCOLN ST STE 206",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222720",
            "telephone_number": "303-429-5099",
            "fax_number": "303-432-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADWATERS COUNSELING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEADWATERS COUNSELING, LLC",
        "enumeration_date": "2020-10-09",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "JOSE",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "SUNDQUIST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-393-0085",
        "authorized_official_credential": "MA LPC RPT-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000178385",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "whitney@caringheartcounseling.com",
            "affiliation": "Y",
            "endpointDescription": "email address",
            "affiliationName": "Headwaters Counseling LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "899 N Logan St Ste 300",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802033155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Caring Heart Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Caring Heart Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Littleton, CO
• Providers in Littleton, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.