Individual provider Active NPI

Danielle Patridge, PHD, LPC, CACII

  • Counselor
  • Greenwood Village, CO
National Provider Identifier
1548009491
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1645 Issued in CO
Practice address
5445 DTC Pkwy PH 4
Greenwood Village, CO 80111-3059
Phone
(720) 432-1101
NPI assigned
May 21, 2024
Last updated
May 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1645 CO Primary

Addresses

Primary practice location

5445 DTC Pkwy PH 4
Greenwood Village, CO 80111-3059

Mailing address

1574 Sunset Ridge Rd
Highlands Ranch, CO 80126-2681
Phone (303) 995-6509

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1645COMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1548009491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1574 SUNSET RIDGE RD",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801262681",
            "telephone_number": "303-995-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 DTC PKWY PH 4",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113059",
            "telephone_number": "720-432-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRIDGE",
        "first_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, CACII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "1645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.