NPIMap

Organization Active NPI

Legacy Comprehensive Counseling & Consulting, PLLC

  • Clinical Psychologist
  • Parker, CO
National Provider Identifier
1710216387
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3115 Issued in CO
Legal business name
LEGACY COMPREHENSIVE COUNSELING & CONSULTING, PLLC
Practice address
9235 Crown Crest Blvd Ste 100
Parker, CO 80138-8881
Phone
(303) 841-4005
Fax
(720) 851-8379
NPI assigned
Dec 10, 2009
Last updated
Sep 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Authorized official

Name
Dr. Molly M White, PHDNPI 1508958752
Title
Psychologist
Phone
(303) 841-4005

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
Clinical Psychologist 103TC0700X 3115 CO Primary

Addresses

Primary practice location

9235 Crown Crest Blvd Ste 100
Parker, CO 80138-8881

Mailing address

9235 Crown Crest Blvd Ste 100
Parker, CO 80138-8881
Phone (303) 841-4005

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1710216387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9235 CROWN CREST BLVD STE 100",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388881",
            "telephone_number": "303-841-4005",
            "fax_number": "720-851-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9235 CROWN CREST BLVD STE 100",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388881",
            "telephone_number": "303-841-4005",
            "fax_number": "720-851-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY COMPREHENSIVE COUNSELING & CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "303-841-4005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.