Stefanie Raccuglia, MA, R-DMT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2406 W 32ND Ave
Denver, CO 80211

Phone

(720) 626-0274

NPI assigned

Jun 20, 2016

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stefanie Raccuglia PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Denver, CO
  • NPI 1275192213
  NPD Authorized official

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1699125757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 UNIVERSITY BLVD # 646",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064613",
            "telephone_number": "720-626-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 W 32ND AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80211",
            "telephone_number": "720-626-0274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803044110",
            "country_code": "US",
            "telephone_number": "720-626-0274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13731 E Rice Pl Ste 200",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "80015",
            "country_code": "US",
            "telephone_number": "720-626-0274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13731 E Rice Pl Ste 200",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "80015",
            "country_code": "US",
            "telephone_number": "720-626-0274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RACCUGLIA",
        "first_name": "STEFANIE",
        "credential": "MA, R-DMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Denver, CO
• Providers in Denver, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.