Individual provider Active NPI

Chandra Richards McLaughlin, MFTC

  • Marriage & Family Therapist
  • Denver, CO
National Provider Identifier
1720713258
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFTC.0014336 Issued in CO
Practice address
1133 N Pennsylvania St
Denver, CO 80203-2502
Phone
(303) 551-0117
NPI assigned
Jul 19, 2022
Last updated
Jul 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFTC.0014336 CO Primary

Addresses

Primary practice location

1133 N Pennsylvania St
Denver, CO 80203-2502

Mailing address

2309 Fairfax St
Denver, CO 80207-3218
Phone (310) 994-7966

Other identifiers 1

IdentifierTypeStateIssuer
MFTC.0014336OtherCOCOLORADO DEPARTMENT OF REGULATORY AGENCIES

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL cmclaughlin@revivaltherapyservices.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFTC.0014336COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Revival Therapy Services LLC CurrentSince Feb 2, 2025 Accepting new patients
Revival Therapy Services LLC Marriage & Family Therapist CurrentSince Jun 20, 2024 Accepting new patients

Locations

1133 N Pennsylvania St
Denver, CO 80203
Phone (303) 551-0117

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1720713258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 FAIRFAX ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802073218",
            "telephone_number": "310-994-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 N PENNSYLVANIA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802032502",
            "telephone_number": "303-551-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "CHANDRA",
        "middle_name": "RICHARDS",
        "credential": "MFTC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFTC.0014336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DEPARTMENT OF REGULATORY AGENCIES",
            "identifier": "MFTC.0014336",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cmclaughlin@revivaltherapyservices.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1133 N Pennsylvania St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802032502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 19, 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.