A New Light Counseling LLC

Organization Active NPI Mental Health Counselor · Denver, CO

NPI 1154042380 · NPPES record last updated Jul 7, 2025

Key facts

NPI
1154042380
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
Legal business name
A NEW LIGHT COUNSELING LLC
Practice address
1355 S Colorado Blvd Ste C304
Denver, CO 80222-3345
Phone
(720) 655-4630
NPI assigned
Sep 6, 2022
Organization subpart
No

Authorized official

Name
Jeremy Anderson, LAC
Title
Owner
Phone
(440) 317-3779

Corporate family (same tax ID) 2

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

Practitioners 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in CO, FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240610001374 CO Part B Supplier - Clinic/Group Practice 5395287056 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO
O20260225000835 FL Part B Supplier - Clinic/Group Practice 5395287056 Receives reassigned benefits from 1 practitioner
Practice locations: Boynton Beach, FL

National Provider Directory

Tax ID family
A New Light Counseling LLC (3 organizations share this tax ID)

Locations

1355 S Colorado Blvd
Ste C304
Denver, CO 80222
Phone (720) 248-8048

2240 W Woolbright Rd
Boynton Beach, FL 33426
Phone (561) 265-5103

2240 W Woolbright Rd
Ste 408
Boynton Beach, FL 33426
Phone (561) 461-7855

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YA0400X
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X Yes
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP
1041C0700X
Psychiatric/Mental Health Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LP0808X

Addresses

Primary practice location

1355 S Colorado Blvd Ste C304
Denver, CO 80222-3345

Mailing address

1355 S Colorado Blvd Ste C304
Denver, CO 80222-3345
Phone (720) 655-4630

Other practice location 1

2240 W Woolbright Rd Ste 408
Boynton Beach, FL 33426-6367
Phone (720) 466-6530

Other providers in Denver, CO

All providers in Denver, CO · Mental Health Counselor in Colorado

Sources for this page

Verify at the official NPI Registry.