Active NPI
Dandelion Psychology, LLC
- Clinical Psychologist
- Arvada, CO
National Provider Identifier
1891148458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4004
- Legal business name
- DANDELION PSYCHOLOGY, LLC
- Practice address
- 7850 Vance Dr Ste 185
Arvada, CO 80003-2127 - Phone
- (303) 704-3612
- Fax
- (512) 597-2829
- NPI assigned
- Jul 19, 2016
- 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
- Dr. Beth Renae Peters, PHD
- Title
- Founder and Psychologist
- Phone
- (303) 704-3612
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4004 | CO | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 4004 | CO | |
| Family Psychologist | 103TF0000X | 4004 | CO | |
| Clinical Social Worker | 1041C0700X | 09923708 | CO |
Addresses
Primary practice location
7850 Vance Dr Ste 185
Arvada, CO 80003-2127
Mailing address
9930 W 105TH Ave
Westminster, CO 80021-7324
Phone (303) 704-3612
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468886400000",
"number": "1891148458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9930 W 105TH AVE",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800217324",
"telephone_number": "303-704-3612",
"fax_number": "512-597-2829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7850 VANCE DR STE 185",
"city": "ARVADA",
"state": "CO",
"postal_code": "800032127",
"telephone_number": "303-704-3612",
"fax_number": "512-597-2829"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANDELION PSYCHOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-19",
"last_updated": "2016-07-19",
"status": "A",
"authorized_official_last_name": "PETERS",
"authorized_official_first_name": "BETH",
"authorized_official_middle_name": "RENAE",
"authorized_official_title_or_position": "FOUNDER AND PSYCHOLOGIST",
"authorized_official_telephone_number": "303-704-3612",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "4004",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CO",
"license": "4004",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": "CO",
"license": "4004",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "09923708",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.