Active NPI
New Growth Therapy LLC
- Professional Counselor
- Nederland, CO
National Provider Identifier
1871118117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Camilla F Dye, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000183797 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Professional Counselor
- Nederland, CO
- NPI 1790305712
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.