Individual provider Active NPI

Denisse Manzano de la Campa, MA

  • Professional Counselor
  • Denver, CO
National Provider Identifier
1386400711
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0021764 Issued in CO
Practice address
325 King St
Denver, CO 80219-1326
Phone
(303) 225-4100
NPI assigned
Feb 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0021764 CO Primary

Addresses

Primary practice location

325 King St
Denver, CO 80219-1326

Mailing address

2520 Wewatta Way Unit 732
Denver, CO 80216-3859
Phone (281) 910-8432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: No
  • 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
I20250201000103 CO Practitioner - Mental Health Counselor 5193254332 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0021764COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC CurrentSince Jan 20, 2025 Accepting new patients
Family Care Center, LLC Mental Health CurrentSince Jan 20, 2025 Accepting new patients
Savio House, Inc. Professional PastSince Feb 25, 2024 Accepting new patients

Locations

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

4660 Yosemite St
Ste 201
Denver, CO 80238
Phone (303) 872-1740

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1386400711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 WEWATTA WAY UNIT 732",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802163859",
            "telephone_number": "281-910-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 KING ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802191326",
            "telephone_number": "303-225-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZANO DE LA CAMPA",
        "first_name": "DENISSE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-23",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0021764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.