Organization Active NPI

Focused Heart, Clear Mind Counseling, PLLC

  • Clinical Social Worker
  • Centennial, CO
National Provider Identifier
1477326783
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FOCUSED HEART, CLEAR MIND COUNSELING, PLLC
Practice address
7173 S Havana St
Centennial, CO 80112-3891
Phone
(484) 441-3948
NPI assigned
Oct 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Tessa Fox-KulakowskiNPI 1558779801
Title
Owner/LCSW
Phone
(484) 441-3948

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

7173 S Havana St
Centennial, CO 80112-3891

Mailing address

716 Hampstead Ave
Castle Rock, CO 80104-3243

National Provider Directory

National Provider Directory

Locations

7173 S Havana St
Centennial, CO 80112
Phone (631) 987-4970

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": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1477326783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 HAMPSTEAD AVE",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801043243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7173 S HAVANA ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123891",
            "telephone_number": "484-441-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOCUSED HEART, CLEAR MIND COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "FOX-KULAKOWSKI",
        "authorized_official_first_name": "TESSA",
        "authorized_official_title_or_position": "OWNER/LCSW",
        "authorized_official_telephone_number": "484-441-3948"
    },
    "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 Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.