Colorwell Therapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COLORWELL THERAPY LLC

Practice address

2000 Winton Rd S Ofc Park
Rochester, NY 14618-3970

Phone

(585) 340-7046

NPI assigned

Nov 9, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Demetric L. Pentelton, LMHCNPI 1669833836

Title

Owner

Phone

(716) 578-2563

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Demetric Pentelton

  • Mental Health Counselor
  • Buffalo, NY
  • NPI 1669833836
  NPD Authorized official

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1689382640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WINTON RD S OFC PARK",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183970",
            "telephone_number": "585-340-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WINTON RD S OFC PARK",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183970",
            "telephone_number": "585-340-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORWELL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "PENTELTON",
        "authorized_official_first_name": "DEMETRIC",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-578-2563",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakesha Lanae Colon, LPN
• Lena Renee Colon, RN
• Marisol Colon, LPN
• Phalon M Colon, LPN
• Victor Colon, DDS
• Ashley Colosi, LCSW
• Kaleb James Colosimo
• Karlie Leah Colosimo, LMSW
• Alyssia Colson
• Christopher D Colt

• Mental Health Counselor in Rochester, NY
• Providers in Rochester, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.