Active NPI
Nicole Harrison, MFT, LAC
- Marriage & Family Therapist
- Aurora, CO
National Provider Identifier
1730618802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1942
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACB.000771 | CO | |
| Addiction (Substance Use Disorder) Counselor | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACB.000771 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| ACD.0001296 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| 13811 | CO | MD | Mental Health Counselor |
| 1942 | CO | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Marriage & Family Therapist | Current | Accepting new patients |
| Bruised Not Broken Therapy, LLC | Addiction (Substance Use Disorder) | Current | 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.
-
- Clinical Social Worker
- Denver, CO
- NPI 1760854442
Marriage & Family Therapist
-
- Addiction (Substance Use Disorder) Counselor
- Aurora, CO
- NPI 1003663097
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.