Active NPI
SRD Counseling and Consultation PLLC
- Counseling Psychologist
- Denver, CO
National Provider Identifier
1912814625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Legal business name
- SRD COUNSELING AND CONSULTATION PLLC
- Practice address
- 1500 N Grant St Ste R
Denver, CO 80203-1859 - Phone
- (720) 491-1457
- NPI assigned
- Aug 26, 2026
- 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
- Samuel Davis, PHD
- Title
- Psychologist
- Phone
- (302) 668-4385
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | Primary |
Addresses
Primary practice location
1500 N Grant St Ste R
Denver, CO 80203-1859
Mailing address
2250 Yearling Dr Apt 302
Fort Collins, CO 80525-4470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787702400000",
"number": "1912814625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 YEARLING DR APT 302",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805254470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N GRANT ST STE R",
"city": "DENVER",
"state": "CO",
"postal_code": "802031859",
"telephone_number": "720-491-1457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SRD COUNSELING AND CONSULTATION PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "302-668-4385",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.