Colorado Relationship Practice

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

COLORADO RELATIONSHIP PRACTICE

Practice address

355 S Teller St Ste 200
Lakewood, CO 80226-7391

Phone

(720) 316-3636

NPI assigned

Jan 16, 2025

Last updated

Jan 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal RobertsonNPI 1083329494

Title

Owner

Phone

(248) 252-7504

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Crystal Robertson, MFTC

  • Marriage & Family Therapist
  • Lakewood, CO
  • NPI 1083329494
  Medicare reassignment NPD Authorized official
• Wendolly Pena, MFTC.0014679

  • Marriage & Family Therapist
  • Lakewood, CO
  • NPI 1811788409
  NPD

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1689485898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 S TELLER ST STE 200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802267391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 S TELLER ST STE 200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802267391",
            "telephone_number": "720-316-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO RELATIONSHIP PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-252-7504"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Lakewood, CO
• Providers in Lakewood, 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 Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.