Organization Active NPI

Soulful Sexology Sanctuary

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1689535437
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SOULFUL SEXOLOGY SANCTUARY
Practice address
1801 Broadway Ste 1225
Denver, CO 80202-3854
Phone
(303) 961-3030
NPI assigned
Nov 20, 2025
Last updated
Nov 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Ms. Neysiauris Yagelis Pichardo, MS, LPC, LMHC, NCCNPI 1164149274
Title
Owner
Phone
(978) 482-6136

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 Counselor 101YM0800X Primary

Addresses

Primary practice location

1801 Broadway Ste 1225
Denver, CO 80202-3854

Mailing address

64 Saunders St
North Andover, MA 01845-2414
Phone (303) 961-3030

Other practice location 1

64 Saunders St
North Andover, MA 01845-2414
Phone (303) 961-3030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260121000755 CO Part B Supplier - Clinic/Group Practice 7113404252 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

1801 Broadway
Ste 1225
Denver, CO 80202
Phone (303) 961-3030

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1689535437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 SAUNDERS ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452414",
            "telephone_number": "303-961-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 BROADWAY STE 1225",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802023854",
            "telephone_number": "303-961-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "64 Saunders St",
            "address_purpose": "LOCATION",
            "city": "North Andover",
            "state": "MA",
            "postal_code": "018452414",
            "country_code": "US",
            "telephone_number": "303-961-3030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOULFUL SEXOLOGY SANCTUARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "PICHARDO",
        "authorized_official_first_name": "NEYSIAURIS",
        "authorized_official_middle_name": "YAGELIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-482-6136",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LPC, LMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Nov 20, 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.