South Denver Psychotherapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

5737 Issued in CO

Legal business name

SOUTH DENVER PSYCHOTHERAPY LLC

Practice address

2305 E Arapahoe Rd
Suite 242
Centennial, CO 80122-1522

Phone

(303) 730-1144

Fax

(303) 795-9561

NPI assigned

Nov 16, 2012

Organization subpart

No

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

Authorized official

Name

Pamela Kennel, MA, LPCNPI 1861624033

Title

Sole Proprietor

Phone

(303) 730-1144

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Pamela K Kennel, MA, LPC

  • Counselor
  • Centennial, CO
  • NPI 1861624033
  NPD (past) Authorized official

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1508100488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MEADOWBROOK CIR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204151",
            "telephone_number": "303-795-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 E ARAPAHOE RD",
            "address_2": "SUITE 242",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801221522",
            "telephone_number": "303-730-1144",
            "fax_number": "303-795-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DENVER PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "KENNEL",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "303-730-1144",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "5737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER ID",
            "identifier": "1861624033",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Centennial, CO
• Providers in Centennial, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.