Organization Active NPI

Queerly Healing Therapies PLLC

  • Clinical Social Worker
  • Lakewood, CO
National Provider Identifier
1457121253
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
QUEERLY HEALING THERAPIES PLLC
Practice address
1090 S Wadsworth Blvd # 3195
Lakewood, CO 80226-4328
Phone
(872) 231-3076
NPI assigned
Jan 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Marlena Gebhard, LCSWNPI 1093328486
Title
Owner/Psychotherapist
Phone
(615) 521-1071

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1090 S Wadsworth Blvd # 3195
Lakewood, CO 80226-4328

Mailing address

5145 N Clark St # 1099
Chicago, IL 60640-2829
Phone (615) 521-1071

Other practice location 1

302 Saunders Rd Ste 200
Riverwoods, IL 60015-3897
Phone (872) 231-3076

National Provider Directory

National Provider Directory

Locations

1090 S Wadsworth Blvd
#3195
Lakewood, CO 80226
Phone (872) 231-3076

5145 N Clark St
#1099
Chicago, IL 60640

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1457121253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5145 N CLARK ST # 1099",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402829",
            "telephone_number": "615-521-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 S WADSWORTH BLVD # 3195",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802264328",
            "telephone_number": "872-231-3076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 Saunders Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Riverwoods",
            "state": "IL",
            "postal_code": "600153897",
            "country_code": "US",
            "telephone_number": "872-231-3076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QUEERLY HEALING THERAPIES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "GEBHARD",
        "authorized_official_first_name": "MARLENA",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "615-521-1071",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "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 May 2, 2025; 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.