Individual provider Active NPI

Denise Paulson, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Longmont, CO
National Provider Identifier
1336034727
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.1000871-NP Issued in CO
Practice address
1630 Dry Creek Dr Ste 100-B
Longmont, CO 80503-6409
Phone
(970) 460-6230
Fax
(888) 965-4615
NPI assigned
Jun 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.1000871-NP CO Primary

Addresses

Primary practice location

1630 Dry Creek Dr Ste 100-B
Longmont, CO 80503-6409

Mailing address

4803 Boardwalk Dr Ste 120
Fort Collins, CO 80525-3798
Phone (970) 310-3406

Other practice location 1

4803 Boardwalk Dr Ste 120
Fort Collins, CO 80525-3798
Phone (970) 387-6883

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250730002674 CO Practitioner - Nurse Practitioner 4587171863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart Centered Counseling PCGroup PAC ID 8628373651, 296 clinicians

Practice addresses (Care Compare)

4803 Boardwalk Dr
Suite 120
Fort Collins, CO 80525-3798
Phone (970) 310-3406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.1000871-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Counseling, PC Psychiatric/Mental Health Current Accepting new patients
Heart Centered Counseling, PC Psychiatric/Mental Health CurrentSince Aug 1, 2025 Accepting new patients
Heart Centered Counseling, PC Psychiatric/Mental Health CurrentSince Aug 1, 2025 Accepting new patients

Locations

215 W Oak St
Fl 4
Fort Collins, CO 80521
Phone (253) 346-1331

4803 Boardwalk Dr
Ste 120
Fort Collins, CO 80525
Phone (253) 346-0394

1770 25th Ave
Ste 206
Greeley, CO 80634
Phone (303) 664-5281

1630 Dry Creek Dr
Ste 100-B
Longmont, CO 80503
Phone (913) 244-3563

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.denisepaulson@146010.advancedmd-direct.com

Organizations & group practices 3

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": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1336034727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 BOARDWALK DR STE 120",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253798",
            "telephone_number": "970-310-3406",
            "fax_number": "888-965-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 DRY CREEK DR STE 100-B",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036409",
            "telephone_number": "970-460-6230",
            "fax_number": "888-965-4615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4803 Boardwalk Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805253798",
            "country_code": "US",
            "telephone_number": "970-387-6883",
            "fax_number": "888-965-4615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAULSON",
        "first_name": "DENISE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.1000871-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.