Individual provider Active NPI

Isabella F Geyer, PSY.D.

  • Clinical Psychologist
  • Greenwood Village, CO
National Provider Identifier
1154730851
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0004573 Issued in CO
Practice address
5290 DTC Pkwy Ste 150
Greenwood Village, CO 80111-2764
Phone
(720) 416-3451
Fax
(970) 233-4565
NPI assigned
Aug 6, 2014
Last updated
Apr 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0000380 CO
Professional Counselor 101YP2500X LPC.0012040 CO
Clinical Psychologist 103TC0700X PSY.0004573 CO Primary

Addresses

Primary practice location

5290 DTC Pkwy Ste 150
Greenwood Village, CO 80111-2764

Mailing address

PO Box 1028
Ouray, CO 81427-1028
Phone (970) 318-1599

Other practice location 1

636 Main St
Ouray, CO 81427
Phone (970) 318-1599

Other identifiers 1

IdentifierTypeStateIssuer
9000153171MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170616000588 CO Practitioner - Clinical Psychologist 4981972924 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5655 S Yosemite St
Suite 350
Greenwood Village, CO 80111-3222
Phone (720) 416-3451

636 Main St
Ouray, CO 81427-9903
Phone (970) 318-1599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0000380COMDAddiction (Substance Use Disorder) Counselor
LPC.0012040COMDProfessional Counselor
PSY.0004573COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ouray Counseling PLLC CurrentSince Oct 1, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1154730851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1028",
            "city": "OURAY",
            "state": "CO",
            "postal_code": "814271028",
            "telephone_number": "970-318-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 DTC PKWY STE 150",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112764",
            "telephone_number": "720-416-3451",
            "fax_number": "970-233-4565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "636 Main St",
            "address_purpose": "LOCATION",
            "city": "Ouray",
            "state": "CO",
            "postal_code": "81427",
            "country_code": "US",
            "telephone_number": "970-318-1599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEYER",
        "first_name": "ISABELLA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0000380",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0012040",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0004573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000153171",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.