My Healing Space Counseling PLLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

MY HEALING SPACE COUNSELING PLLC

Practice address

14211 E 4TH Ave # 3-250
Aurora, CO 80011-8736

Phone

(720) 209-8897

NPI assigned

Apr 3, 2024

Organization subpart

No

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

Authorized official

Name

Fannie Shariee JohnsonNPI 1245491422

Title

Owner

Phone

(720) 829-4471

Specialties & licenses 3

Addresses

Tax ID family

My Healing Space Counseling PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• My Healing Space Counseling PLLC

  • Specialist
  • Denver, CO
  • NPI 1235824582
  NPD tax ID

Locations

Practitioners 1

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

• Fannie Shariee Johnson, MEDICAL ASISSITANT

  • Addiction (Substance Use Disorder) Counselor
  • Denver, CO
  • NPI 1245491422
  NPD Authorized official

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1508618455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19549 RANDOLPH PL",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802498609",
            "telephone_number": "720-829-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14211 E 4TH AVE # 3-250",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118736",
            "telephone_number": "720-209-8897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19549 Randolph Pl",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802498609",
            "country_code": "US",
            "telephone_number": "720-829-4471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MY HEALING SPACE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "FANNIE",
        "authorized_official_middle_name": "SHARIEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-829-4471"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Entenzia Wangui Muturi Schriner
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• Jenny Mya, MD

• Substance Use Disorder Rehabilitation Clinic/Center in Aurora, CO
• Providers in Aurora, CO by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.