Active NPI
Overcoming Trauma, PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Denver, CO
National Provider Identifier
1700509726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- OVERCOMING TRAUMA, PLLC
- Practice address
- 855 Inca Street
Suite #2C
Denver, CO 80204 - Phone
- (720) 675-8991
- NPI assigned
- Sep 23, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debora Fernandes, LPC
- Title
- Ceo and Therapist
- Phone
- (720) 675-8991
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
855 Inca Street
Suite #2C
Denver, CO 80204
Mailing address
700 Colorado Blvd # 175
Denver, CO 80206-4084
Phone (720) 675-8991
National Provider Directory
National Provider DirectoryLocations
855 Inca St
Ste 2C
Denver, CO 80204
Phone (720) 675-8991
700 N Colorado Blvd
#175
Denver, CO 80206
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Denver, CO
- NPI 1790346922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663891200000",
"number": "1700509726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 COLORADO BLVD # 175",
"city": "DENVER",
"state": "CO",
"postal_code": "802064084",
"telephone_number": "720-675-8991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 INCA STREET",
"address_2": "SUITE #2C",
"city": "DENVER",
"state": "CO",
"postal_code": "80204",
"telephone_number": "720-675-8991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OVERCOMING TRAUMA, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-23",
"last_updated": "2022-09-23",
"certification_date": "2022-09-19",
"status": "A",
"authorized_official_last_name": "FERNANDES",
"authorized_official_first_name": "DEBORA",
"authorized_official_title_or_position": "CEO AND THERAPIST",
"authorized_official_telephone_number": "720-675-8991",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"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 Sep 23, 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.