Organization Active NPI

Overcoming Trauma, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Denver, CO
National Provider Identifier
1700509726
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Debora Fernandes, LPCNPI 1790346922
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.