Organization Active NPI

Resilience Marriage and Family Therapy

  • Marriage & Family Therapist
  • Wheat Ridge, CO
National Provider Identifier
1235949637
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
RESILIENCE MARRIAGE AND FAMILY THERAPY
Doing business as
Resilience Marriage and Family Therapy
Practice address
10200 W 44TH Ave Ste 430a
Wheat Ridge, CO 80033-6822
Phone
(720) 935-7336
NPI assigned
Jan 9, 2025
Last updated
Jan 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Timothy M Mullins, LMFTNPI 1497260723
Title
Owner
Phone
(720) 935-7336

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
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

10200 W 44TH Ave Ste 430a
Wheat Ridge, CO 80033-6822

Mailing address

5100 Osceola St
Denver, CO 80212-2604
Phone (720) 935-7336

Other identifiers 1

IdentifierTypeStateIssuer
9000167923MedicaidCO

Other names 1

  • Resilience Marriage and Family Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260318000611 CO Part B Supplier - Clinic/Group Practice 4284118365 Receives reassigned benefits from 1 practitioner
Practice locations: Wheat Ridge, CO

National Provider Directory

National Provider Directory

Locations

10200 W 44th Ave
Ste 430A
Wheat Ridge, CO 80033
Phone (720) 935-7336

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1235949637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 OSCEOLA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122604",
            "telephone_number": "720-935-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 W 44TH AVE STE 430A",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336822",
            "telephone_number": "720-935-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE MARRIAGE AND FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-935-7336",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000167923",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resilience Marriage and Family Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.