Colorado Counseling Professionals, P.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2512 Issued in CO

Legal business name

COLORADO COUNSELING PROFESSIONALS, P.C.

Practice address

9088 Ridgeline Blvd
Suite 106
Highlands Ranch, CO 80129-2383

Phone

(303) 246-7559

Fax

(303) 831-9530

NPI assigned

Jan 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Doug Patrick Smith, PH.D.NPI 1861559932

Title

Owner

Phone

(303) 246-7559

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 4

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.

• Doug Patrick Smith, PH.D.

  • Psychologist
  • Highlands Ranch, CO
  • NPI 1861559932
  Medicare reassignment NPD Authorized official
• Troy Berndt, DC

  • Chiropractor
  • Littleton, CO
  • NPI 1063456937
  NPD (past)
• Matthew Ver Miller, PSY.D.

  • Clinical Psychologist
  • Lakewood, CO
  • NPI 1316950983
  NPD (past)
• Prscilla Zynda, PH.D.

  • Counseling Psychologist
  • Englewood, CO
  • NPI 1053489484
  NPD (past)

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780741850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3638 DINOSAUR ST",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093627",
            "telephone_number": "303-246-7559",
            "fax_number": "303-831-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9088 RIDGELINE BLVD",
            "address_2": "SUITE 106",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292383",
            "telephone_number": "303-246-7559",
            "fax_number": "303-831-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO COUNSELING PROFESSIONALS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DOUG",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-246-7559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CO",
            "license": "2512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37473735",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.