Tanja Gorenc, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT1786 Issued in CO

Practice address

13654 Xavier LN Ste 201
Broomfield, CO 80023-3608

Phone

(720) 523-1067

NPI assigned

Apr 15, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neurobloom Counseling and Neurofeedback, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Broomfield, CO
  • NPI 1912592452
  Medicare reassignment NPD Authorized official
• Neuro Bloom Counseling and Neurofeedback, PLLC

  • Mental Health Counselor
  • Denver, CO
  • NPI 1457179913
  NPD (past) Authorized official

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1629422662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13654 XAVIER LN STE 201",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800233608",
            "telephone_number": "720-523-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13654 XAVIER LN STE 201",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800233608",
            "telephone_number": "720-523-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORENC",
        "first_name": "TANJA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-15",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "LMFT1786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adella Gonzalez, LPC-C
• Daniel Goodeill, D.O.
• Brooke Gordon, RN
• Charles Gore
• Taylor Marie Gore
• Kim Gorman, MS, RD
• Shawn William Gorman, LPCC
• Maria Gorski, PT
• Lesley Rachel Goth, PSYD
• Rahil Gour, DO

• Marriage & Family Therapist in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.