Individual provider Active NPI

Kelli Henderson, M.S. LMFT

  • Marriage & Family Therapist
  • Denver, CO
National Provider Identifier
1326426982
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1231 Issued in CO
Practice address
5500 E Yale Ave Ste 202
Denver, CO 80222-6930
Phone
(303) 921-2771
NPI assigned
May 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 880 CO
Marriage & Family Therapist 106H00000X 1231 CO Primary

Addresses

Primary practice location

5500 E Yale Ave Ste 202
Denver, CO 80222-6930

Mailing address

5500 E Yale Ave Ste 202
Denver, CO 80222-6930
Phone (303) 921-2771

Other practice location 1

1191 S Parker Road Suite 100
Denver, CO 80231
Phone (303) 921-2771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241101002816 CO Practitioner - Marriage and Family Therapist 0941733695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harvest Therapeutic Services LLCGroup PAC ID 9032642780, 2 clinicians

Practice addresses (Care Compare)

1780 S Bellaire St
Suite 801
Denver, CO 80222-4328
Phone (720) 653-9149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
880COMDAddiction (Substance Use Disorder) Counselor
1231COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Evoke Therapeutic Services Addiction (Substance Use Disorder) CurrentSince Nov 10, 2019 Accepting new patients
Harvest Therapeutic Services LLC CurrentSince Sep 16, 2024 Accepting new patients

Locations

5500 E Yale Ave
Ste 202
Denver, CO 80222
Phone (303) 921-2771

1780 S Bellaire St
Ste 801
Denver, CO 80222
Phone (720) 593-0887

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": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1326426982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 E YALE AVE STE 202",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226930",
            "telephone_number": "303-921-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 E YALE AVE STE 202",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226930",
            "telephone_number": "303-921-2771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1191 S Parker Road Suite 100",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "80231",
            "country_code": "US",
            "telephone_number": "303-921-2771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "KELLI",
        "credential": "M.S. LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "880",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "1231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.