Trauma Resolution Colorado

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4569 Issued in CO

Legal business name

TRAUMA RESOLUTION COLORADO

Practice address

390 S Potomac Way Ste C
Aurora, CO 80012-2491

Phone

(720) 384-3498

Fax

(303) 321-1792

NPI assigned

Feb 13, 2018

Organization subpart

No

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

Authorized official

Name

Todd Harrison, LPCNPI 1619197670

Title

Owner

Phone

(720) 384-3498

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Todd William Harrison, LPC

  • Professional Counselor
  • Denver, CO
  • NPI 1619197670
  NPD (past) Authorized official

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1801396288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8232 E 29TH PL",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382723",
            "telephone_number": "720-384-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 S POTOMAC WAY STE C",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800122491",
            "telephone_number": "720-384-3498",
            "fax_number": "303-321-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAUMA RESOLUTION COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-384-3498",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "4569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66125081",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.