NPIMap

Organization Active NPI

Colorado Healing Collective

  • Mental Health Counselor
  • Longmont, CO
National Provider Identifier
1154038347
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COLORADO HEALING COLLECTIVE
Practice address
229 Terry St
Longmont, CO 80501-5930
Phone
(303) 437-1351
NPI assigned
Oct 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Judith Innes, MA, LPC
Title
Owner
Phone
(303) 437-1351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

229 Terry St
Longmont, CO 80501-5930

Mailing address

PO Box 172
Longmont, CO 80502-0172
Phone (303) 437-1351

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250725001573 CO Part B Supplier - Clinic/Group Practice 6305353350 Receives reassigned benefits from 2 practitioners
Practice locations: Longmont, CO

National Provider Directory

National Provider Directory
Tax ID family
Colorado Healing Collective18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

752 17th Ave
Longmont, CO 80501

350 Terry St
Longmont, CO 80501
Phone (720) 727-7628

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1154038347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 172",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805020172",
            "telephone_number": "303-437-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 TERRY ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015930",
            "telephone_number": "303-437-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO HEALING COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-28",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "INNES",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-437-1351",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.