Active NPI
Sagebrush Counseling
- Mental Health Counselor
- Denver, CO
National Provider Identifier
1477314516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SAGEBRUSH COUNSELING
- Practice address
- 155 S Madison St Ste 306
Denver, CO 80209-3014 - Phone
- (785) 865-6555
- Fax
- (844) 265-8622
- NPI assigned
- Jan 16, 2024
- Last updated
- Jan 16, 2024
- Organization subpart
- Yes
- Parent organization
- SAGEBRUSH COUNSELING
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Damond Dotson, PH.D., LMFT
- Title
- Billing Manager
- Phone
- (970) 576-1717
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
155 S Madison St Ste 306
Denver, CO 80209-3014
Mailing address
1330 S Bryant St
Denver, CO 80219-4220
Phone (785) 865-6555
Other names 1
- SAGEBRUSH COUNSELING
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240423002957 | CO | Part B Supplier - Clinic/Group Practice | 4981043916 |
Receives reassigned benefits from 5 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Canon City, CO; Denver, CO; Littleton, CO |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Sagebrush Counseling LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Mental Health Counselor
- Denver, CO
- NPI 1710680368
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Marriage & Family Therapist
- Denver, CO
- NPI 1437375730
-
- Counselor
- Colorado Springs, CO
- NPI 1215571856
-
- Mental Health Counselor
- Bailey, CO
- NPI 1578153912
-
- Mental Health Counselor
- Canon City, CO
- NPI 1174353445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705363200000",
"number": "1477314516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 S BRYANT ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802194220",
"telephone_number": "785-865-6555",
"fax_number": "844-265-8622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 S MADISON ST STE 306",
"city": "DENVER",
"state": "CO",
"postal_code": "802093014",
"telephone_number": "785-865-6555",
"fax_number": "844-265-8622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGEBRUSH COUNSELING",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SAGEBRUSH COUNSELING",
"enumeration_date": "2024-01-16",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A",
"authorized_official_last_name": "DOTSON",
"authorized_official_first_name": "DAMOND",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "970-576-1717",
"authorized_official_credential": "PH.D., LMFT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SAGEBRUSH COUNSELING",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.