NPIMap

Organization Active NPI

Sagebrush Counseling LLC

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1710680368
Registry record updated Dec 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SAGEBRUSH COUNSELING LLC
Practice address
1521 S Pearl St
Denver, CO 80210-2634
Phone
(785) 865-6555
Fax
(844) 265-8622
NPI assigned
Mar 23, 2023
Last updated
Dec 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2025

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

Authorized official

Name
Damond Dotson, PHD, LMFT
Title
Billing and Credentialing Manager
Phone
(970) 576-1717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1521 S Pearl St
Denver, CO 80210-2634

Mailing address

1330 S Bryant St
Denver, CO 80219-4220
Phone (785) 865-6555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240423002957 CO Part B Supplier - Clinic/Group Practice 4981043916 Receives reassigned benefits from 5 practitioners
2 other NPIs on this enrollment
Practice locations: Canon City, CO; Denver, CO; Littleton, CO

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Sagebrush Counseling4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 5

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766620800000",
    "number": "1710680368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 S BRYANT ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802194220",
            "telephone_number": "785-865-6555",
            "fax_number": "844-265-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 S PEARL ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102634",
            "telephone_number": "785-865-6555",
            "fax_number": "844-265-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGEBRUSH COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2025-12-25",
        "certification_date": "2025-12-25",
        "status": "A",
        "authorized_official_last_name": "DOTSON",
        "authorized_official_first_name": "DAMOND",
        "authorized_official_title_or_position": "BILLING AND CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "970-576-1717",
        "authorized_official_credential": "PHD, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY 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 Dec 25, 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.