NPIMap

Organization Active NPI

Mindful Therapy Group of Colorado, PC

  • Clinical Social Worker
  • Lakewood, CO
National Provider Identifier
1508701400
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MINDFUL THERAPY GROUP OF COLORADO, PC
Practice address
390 Union Blvd Ste 250
Lakewood, CO 80228-1556
Phone
(970) 237-4990
Fax
(800) 377-1553
NPI assigned
Apr 20, 2026
Organization subpart
Yes
Parent organization
MINDFUL THERAPY GROUP OF COLORADO, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Authorized official

Name
Nicole Pauly, MHA
Title
Payor Relationship Manager
Phone
(425) 640-7009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

390 Union Blvd Ste 250
Lakewood, CO 80228-1556

Mailing address

6505 216TH St SW Ste 100
Mountlake Terrace, WA 98043-2089
Phone (425) 640-7009

National Provider Directory

National Provider Directory
Tax ID family
Mindful Thpy GRP of Co PC10 organizations share this tax ID, including this one
Part of
Mindful Thpy GRP of Co PC

Other organizations with this tax ID 9

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

Locations

390 Union Blvd
Ste 250
Lakewood, CO 80228
Phone (970) 237-4990

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.

NPI Registry JSON

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

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1508701400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 216TH ST SW STE 100",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432089",
            "telephone_number": "425-640-7009",
            "fax_number": "425-678-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 UNION BLVD STE 250",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281556",
            "telephone_number": "970-237-4990",
            "fax_number": "800-377-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL THERAPY GROUP OF COLORADO, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINDFUL THERAPY GROUP OF COLORADO, PC",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "PAULY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PAYOR RELATIONSHIP MANAGER",
        "authorized_official_telephone_number": "425-640-7009",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.