NPIMap

Organization Active NPI

Self Care Impact Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lakewood, CO
National Provider Identifier
1396500153
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SELF CARE IMPACT COUNSELING LLC
Practice address
12211 W Alameda Pkwy Ste 106
Lakewood, CO 80228-2867
Phone
(720) 551-4553
NPI assigned
Feb 20, 2024
Last updated
Feb 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Alayna Baillod, LCSWNPI 1740632587
Title
Owner
Phone
(720) 551-4553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

12211 W Alameda Pkwy Ste 106
Lakewood, CO 80228-2867

Mailing address

12211 W Alameda Pkwy Ste 106
Lakewood, CO 80228-2867
Phone (720) 551-4553

Other practice location 1

438 Terry St
Longmont, CO 80501-5442
Phone (720) 551-4553

National Provider Directory

National Provider Directory

Locations

12211 W Alameda Pkwy
Ste 106
Lakewood, CO 80228
Phone (720) 336-9930

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1396500153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12211 W ALAMEDA PKWY STE 106",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282867",
            "telephone_number": "720-551-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12211 W ALAMEDA PKWY STE 106",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282867",
            "telephone_number": "720-551-4553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "438 Terry St",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805015442",
            "country_code": "US",
            "telephone_number": "720-551-4553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SELF CARE IMPACT COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "BAILLOD",
        "authorized_official_first_name": "ALAYNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-551-4553",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.