Organization Active NPI

Behavioral Health and Trauma Recovery Services PC

  • Clinical Psychologist
  • Castle Rock, CO
National Provider Identifier
1225653355
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BEHAVIORAL HEALTH AND TRAUMA RECOVERY SERVICES PC
Practice address
115 Wilcox St Ste 240
Castle Rock, CO 80104-2064
Phone
(303) 945-3775
Fax
(303) 985-5236
NPI assigned
Jun 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Dr. Denise L Lucia, PHD, LPNPI 1285943936
Title
Owner/President
Phone
(303) 945-3775

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
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

115 Wilcox St Ste 240
Castle Rock, CO 80104-2064

Mailing address

115 Wilcox St Ste 240
Castle Rock, CO 80104-1992
Phone (303) 945-3775

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240422001148 CO Part B Supplier - Clinic/Group Practice 1254770464 Receives reassigned benefits from 2 practitioners
Practice locations: Castle Rock, CO

National Provider Directory

National Provider Directory

Locations

509 Wilcox St
Ste 101
Castle Rock, CO 80104

115 Wilcox St
Ste 240
Castle Rock, CO 80104
Phone (303) 945-3775

Practitioners & affiliated clinicians

Practitioners 2

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": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1225653355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WILCOX ST STE 240",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041992",
            "telephone_number": "303-945-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WILCOX ST STE 240",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042064",
            "telephone_number": "303-945-3775",
            "fax_number": "303-985-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH AND TRAUMA RECOVERY SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "LUCIA",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "303-945-3775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.