Southeast Counseling & Coaching Center PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1804 Issued in CO

Legal business name

SOUTHEAST COUNSELING & COACHING CENTER PC

Practice address

20971 E Smoky Hill Rd Ste 213
Centennial, CO 80015-5186

Phone

(303) 617-8600

Fax

(303) 617-8603

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bernadette J Gray, PSY.DNPI 1417022625

Title

President

Phone

(303) 617-8600

Specialties & licenses 1

Addresses

Tax ID family

Southeast Counseling and Coaching2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Southeast Counseling and Coaching

  • Professional Counselor
  • Centennial, CO
  • NPI 1912301169
  NPD tax ID

Locations

Practitioners 1

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

• Bernadette Jeanne Gray, PSY.D.

  • Professional Counselor
  • Greenwood Village, CO
  • NPI 1417022625
  NPD (past) Authorized official

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1235339060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22793 E DAVIES DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800162384",
            "telephone_number": "303-617-8600",
            "fax_number": "303-617-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20971 E SMOKY HILL RD STE 213",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800155186",
            "telephone_number": "303-617-8600",
            "fax_number": "303-617-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST COUNSELING & COACHING CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-617-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "1804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Monaco Neuromonitoring
• South Psychology LLC
• South Psychology LLC
• South Suburban Family Practice P C
• Jordan Southall, PHARMD
• Southeast Counseling and Coaching
• Southglenn Dental Care, PC
• Southglenn Endodontics
• Southglenn Eyecare, PC
• Southglenn Modern Dentistry, LLP (Southglenn Modern Dentisrty)

• Community/Behavioral Health Agency in Centennial, CO
• Providers in Centennial, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.