Individual provider Active NPI

Denver Dellalucia

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1316545569
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0018941 Issued in CO
Practice address
6805 Corporate Dr Ste 120
Colorado Springs, CO 80919-1977
Phone
(719) 726-8811
NPI assigned
Oct 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH.61473172 WA
Behavior Technician 106S00000X 521140 HI
Mental Health Counselor 101YM0800X LPC.0018941 CO Primary

Addresses

Primary practice location

6805 Corporate Dr Ste 120
Colorado Springs, CO 80919-1977

Mailing address

6738 Wild Indigo Dr
Colorado Springs, CO 80923-8826
Phone (503) 702-5323

Other practice location 1

6738 Wild Indigo Dr
Colorado Springs, CO 80923-8826
Phone (503) 702-5323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250429001407 WA Practitioner - Mental Health Counselor 3577089945 Reassigns benefits to 1 organization
I20251113004832 CO Practitioner - Mental Health Counselor 3577089945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6738 Wild Indigo Dr
Colorado Springs, CO 80923-8826

PO Box
Suite 461570
Aurora, CO 80046

PO Box
Suite 8
Chippewa Lake, MI 49320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0018941COMDMental Health Counselor
LH.61473172WAMDMental Health Counselor
521140HIMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Behavioral Care, Inc. CurrentSince Oct 29, 2025 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Apr 17, 2025 Accepting new patients

Locations

950 Wadsworth Blvd
Ste 202
Lakewood, CO 80214
Phone (303) 257-7047

Organizations & group practices 2

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": "1602288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1316545569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6738 WILD INDIGO DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809238826",
            "telephone_number": "503-702-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 CORPORATE DR STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191977",
            "telephone_number": "719-726-8811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6738 Wild Indigo Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809238826",
            "country_code": "US",
            "telephone_number": "503-702-5323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELLALUCIA",
        "first_name": "DENVER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-10",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH.61473172",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": "521140",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0018941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.