Mile High Trauma Therapy Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09922662 Issued in CO

Legal business name

MILE HIGH TRAUMA THERAPY CENTER

Doing business as

Rewild Therapy and Wellness

Practice address

4225 S Logan St
Englewood, CO 80113-4728

Phone

(720) 295-9787

NPI assigned

Feb 1, 2016

Last updated

Apr 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erin Henry, LCSWNPI 1174940860

Title

Therapist

Phone

(720) 295-9787

Specialties & licenses 1

Addresses

Other names 1

• Rewild Therapy and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 2

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.

• Erin Henry, LCSW

  • Social Worker
  • Littleton, CO
  • NPI 1174940860
  Medicare reassignment NPD Authorized official
• Rebecca Winn, MA

  • Professional Counselor
  • Littleton, CO
  • NPI 1710338306
  NPD

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1487012720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 S LOGAN ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801134728",
            "telephone_number": "720-295-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 S LOGAN ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801134728",
            "telephone_number": "720-295-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE HIGH TRAUMA THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "720-295-9787",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09922662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rewild Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mile High Council on Alcoholism and Drug Abuse (Mile High Behavioral Healthcare)
• Mile High Council on Alcoholism and Drug Abuse (Mile High Behavioral Healthcare)
• Mile High Council on Alcoholism and Drug Abuse (Mile High Behavioral Healthcare)
• Mile High Council on Alcoholism and Drug Abuse (Mile High Behavioral Healthcare)
• Mile High Council on Alcoholism and Drug Abuse (Mile High Behavioral Healthcare)
• Mile High Urgent Care PLLC (AFC Urgent Care Broadway)
• Mile High Urgent Care PLLC (AFC Urgent Care Englewood)
• Mile High Women's Outreach Center
• Kayshe Miles, OTD, OTR/L
• Dallen Mill, MD

• Clinical Social Worker in Englewood, CO
• Providers in Englewood, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.

Verify at the official NPI Registry.