Organization Active NPI

Neuro Colorado LLC

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1629577002
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11636 Issued in CO
Legal business name
NEURO COLORADO LLC
Practice address
1720 S Bellaire St Ste 710
Denver, CO 80222-4370
Phone
(720) 232-0834
Fax
(720) 325-2399
NPI assigned
Feb 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Mr. Sean Brock, LPCNPI 1376380063
Title
Owner / Psychotherapist
Phone
(720) 232-0834

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 11636 CO Primary

Addresses

Primary practice location

1720 S Bellaire St Ste 710
Denver, CO 80222-4370

Mailing address

1720 S Bellaire St Ste 710
Denver, CO 80222-4370
Phone (720) 384-8418

National Provider Directory

National Provider Directory

Locations

1720 S Bellaire St
Ste 710
Denver, CO 80222
Phone (720) 232-0834

1777 S Bellaire St
Ste 102
Denver, CO 80222
Phone (303) 377-3201

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1629577002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S BELLAIRE ST STE 710",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224370",
            "telephone_number": "720-384-8418",
            "fax_number": "720-325-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 S BELLAIRE ST STE 710",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224370",
            "telephone_number": "720-232-0834",
            "fax_number": "720-325-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO COLORADO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER / PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "720-232-0834",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "11636",
            "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 10, 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.