Individual provider Active NPI

Autumn Brooke Maldonado

  • Mental Health Counselor
  • Grand Junction, CO
National Provider Identifier
1750062600
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0022767 Issued in CO
Practice address
215 Pitkin Ave Ste 102
Grand Junction, CO 81501-7805
Phone
(970) 986-8668
Fax
(970) 986-8586
NPI assigned
Jul 25, 2023
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC.0022767 CO Primary

Addresses

Primary practice location

215 Pitkin Ave Ste 102
Grand Junction, CO 81501-7805

Mailing address

624 Lodgepole St
Grand Junction, CO 81504-5548
Phone (307) 871-0724

Other names 1

  • Autumn Holmes Former name

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
LPC.0022767COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Credo Counseling Mental Health CurrentSince Aug 11, 2024 Accepting new patients
Autumn Mind Counseling LLC Mental Health CurrentSince Aug 17, 2025 Accepting new patients
Pathway, Inc. Mental Health PastSince Jul 1, 2023 Accepting new patients

Locations

215 Pitkin Ave
Ste 102
Grand Junction, CO 81501
Phone (907) 986-8668

Organizations & group practices 3

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": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1750062600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 LODGEPOLE ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815045548",
            "telephone_number": "307-871-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 PITKIN AVE STE 102",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017805",
            "telephone_number": "970-986-8668",
            "fax_number": "970-986-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "AUTUMN",
        "middle_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0022767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUTUMN",
            "last_name": "HOLMES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.