Individual provider Active NPI

Hannah Grace Glusenkamp, LPC

  • Professional Counselor
  • Denver, CO
National Provider Identifier
1285476473
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0020771 Issued in CO
Practice address
2406 W 32ND Ave Ste D
Denver, CO 80211-3373
Phone
(720) 204-8589
NPI assigned
Jun 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC.0020771 CO
Mental Health Counselor 101YM0800X LPC.0020771 CO
Professional Counselor 101YP2500X LPC.0020771 CO Primary

Addresses

Primary practice location

2406 W 32ND Ave Ste D
Denver, CO 80211-3373

Mailing address

2406 W 32ND Ave Ste D
Denver, CO 80211-3373
Phone (720) 204-8589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 11, 2024 through Jul 11, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0020771COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Therapy Collective LLC Mental Health CurrentSince Jun 16, 2024 Accepting new patients

Locations

2406 W 32nd Ave
Ste D
Denver, CO 80211
Phone (720) 204-8589

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1285476473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 W 32ND AVE STE D",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113373",
            "telephone_number": "720-204-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 W 32ND AVE STE D",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113373",
            "telephone_number": "720-204-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUSENKAMP",
        "first_name": "HANNAH",
        "middle_name": "GRACE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPC.0020771",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0020771",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0020771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.