Active NPI
Noelle L Lefforge, PH.D.
- Psychologist
- Denver, CO
National Provider Identifier
1538422563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY0648
- Practice address
- 2450 S Vine St
Denver, CO 80210-5264 - Phone
- (702) 757-8601
- NPI assigned
- Jun 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY.0005500 | CO | |
| Clinical Psychologist | 103TC0700X | PY0648 | NV | |
| Clinical Psychologist | 103TC0700X | PSY.0005500 | CO | |
| Group Psychotherapy Psychologist | 103TP2701X | PY0648 | NV | |
| Group Psychotherapy Psychologist | 103TP2701X | PSY.0005500 | CO | |
| Psychologist | 103T00000X | PY0648 | NV | Primary |
Addresses
Primary practice location
2450 S Vine St
Denver, CO 80210-5264
Mailing address
2450 S Vine St
RM 43
Denver, CO 80210-5264
Phone (702) 757-8601
Other practice location 1
1410 Foothills Mills St
Henderson, NV 89012-4837
Phone (702) 757-8601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY0648 | NV | MD | Psychologist |
| PSY.0005500 | CO | MD | Group Psychotherapy Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1538422563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 S VINE ST",
"address_2": "RM 43",
"city": "DENVER",
"state": "CO",
"postal_code": "802105264",
"telephone_number": "702-757-8601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 S VINE ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802105264",
"telephone_number": "702-757-8601"
}
],
"practiceLocations": [
{
"address_1": "1410 Foothills Mills St",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890124837",
"country_code": "US",
"telephone_number": "702-757-8601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEFFORGE",
"first_name": "NOELLE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-25",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "PSY.0005500",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NV",
"license": "PY0648",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSY.0005500",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "NV",
"license": "PY0648",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "CO",
"license": "PSY.0005500",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NV",
"license": "PY0648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.