Organization Active NPI

Integrative Health Solutions PLLC

  • Psychologist
  • Northglenn, CO
National Provider Identifier
1275073058
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2402 Issued in CO
Legal business name
INTEGRATIVE HEALTH SOLUTIONS PLLC
Doing business as
PEAK Exceptional Services
Practice address
11990 Grant St
Suite 310
Northglenn, CO 80233-1137
Phone
(720) 377-3250
Fax
(720) 356-0172
NPI assigned
Feb 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Dr. Terri Lucero, PH.D.NPI 1245460930
Title
Owner
Phone
(720) 377-3250

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
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 2402 CO Primary

Addresses

Primary practice location

11990 Grant St
Suite 310
Northglenn, CO 80233-1137

Mailing address

PO Box 53
Eastlake, CO 80614-0053
Phone (720) 377-3250

Other names 1

  • PEAK Exceptional Services Doing business as

National Provider Directory

National Provider Directory

Locations

11990 Grant St
Ste 310
Northglenn, CO 80233
Phone (720) 377-3250

Practitioners & affiliated clinicians

Practitioners 1

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": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1275073058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53",
            "city": "EASTLAKE",
            "state": "CO",
            "postal_code": "806140053",
            "telephone_number": "720-377-3250",
            "fax_number": "720-356-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11990 GRANT ST",
            "address_2": "SUITE 310",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802331137",
            "telephone_number": "720-377-3250",
            "fax_number": "720-356-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "LUCERO",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-377-3250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CO",
            "license": "2402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEAK Exceptional Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northglenn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.