Individual provider Active NPI

Nicole Harrison, MFT, LAC

  • Marriage & Family Therapist
  • Aurora, CO
National Provider Identifier
1730618802
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1942 Issued in CO
Practice address
2101 S Blackhawk St Ste 240
Aurora, CO 80014-1475
Phone
(720) 434-6972
NPI assigned
Jun 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACB.000771 CO
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X ACD.0001296 CO
Mental Health Counselor 101YM0800X 13811 CO
Marriage & Family Therapist 106H00000X 1942 CO Primary

Addresses

Primary practice location

2101 S Blackhawk St Ste 240
Aurora, CO 80014-1475

Mailing address

3010 Cimarron St # 240
Aurora, CO 80011-2250
Phone (720) 434-6972

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nykol@bruisednotbrokentherapy.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240627000419 CO Practitioner - Marriage and Family Therapist 5496299851 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACB.000771COMDAddiction (Substance Use Disorder) Counselor
ACD.0001296COMDAddiction (Substance Use Disorder) Counselor
13811COMDMental Health Counselor
1942COMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Marriage & Family Therapist CurrentSince Mar 26, 2024 Accepting new patients
Bruised Not Broken Therapy, LLC Addiction (Substance Use Disorder) CurrentSince May 12, 2024 Accepting new patients

Locations

1777 S Harrison St
Ste 1200
Denver, CO 80210
Phone (303) 809-1704

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1730618802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 CIMARRON ST # 240",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800112250",
            "telephone_number": "720-434-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S BLACKHAWK ST STE 240",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141475",
            "telephone_number": "720-434-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "NICOLE",
        "credential": "MFT, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACB.000771",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001296",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "13811",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "1942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nykol@bruisednotbrokentherapy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2101 S Blackhawk St Ste 240",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800141475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.