Organization Active NPI

New Growth Therapy LLC

  • Professional Counselor
  • Nederland, CO
National Provider Identifier
1871118117
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
NEW GROWTH THERAPY LLC
Practice address
491 W Spring Street
Nederland, CO 80466
Phone
(720) 282-1727
Fax
(866) 757-5778
NPI assigned
Jun 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Camilla F Dye, LPCNPI 1790305712
Title
Owner/MBR
Phone
(720) 282-1727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

491 W Spring Street
Nederland, CO 80466

Mailing address

350 East Street #56
Nederland, CO 80466-0056
Phone (720) 282-1727

Other identifiers 1

IdentifierTypeStateIssuer
9000183797MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241209001212 CO Part B Supplier - Clinic/Group Practice 1153857503 Receives reassigned benefits from 1 practitioner
Practice locations: Nederland, CO

National Provider Directory

National Provider Directory

Locations

350 East St
Unit 56
Nederland, CO 80466
Phone (720) 282-1727

80 Big Springs Dr
Ste 315
Nederland, CO 80466

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1871118117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 EAST STREET #56",
            "city": "NEDERLAND",
            "state": "CO",
            "postal_code": "804660056",
            "telephone_number": "720-282-1727",
            "fax_number": "866-757-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 W SPRING STREET",
            "city": "NEDERLAND",
            "state": "CO",
            "postal_code": "80466",
            "telephone_number": "720-282-1727",
            "fax_number": "866-757-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW GROWTH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-12",
        "last_updated": "2023-09-13",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "DYE",
        "authorized_official_first_name": "CAMILLA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/MBR",
        "authorized_official_telephone_number": "720-282-1727",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000183797",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nederland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.