Active NPI
Melanie Grundvig
- Marriage & Family Therapist
- Lakewood, CO
National Provider Identifier
1922607860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFTC.0014509
- Practice address
- 7220 W Jefferson Ave Ste 202
Lakewood, CO 80235-2023 - Phone
- (719) 375-2955
- NPI assigned
- Oct 21, 2020
- Reactivated
- Oct 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFTC.0014509 | CO | Primary |
Addresses
Primary practice location
7220 W Jefferson Ave Ste 202
Lakewood, CO 80235-2023
Mailing address
264 Meadowview Dr
Loveland, CO 80537-7588
Phone (970) 344-9876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFTC.0014509 | CO | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696377600000",
"number": "1922607860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264 MEADOWVIEW DR",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805377588",
"telephone_number": "970-344-9876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7220 W JEFFERSON AVE STE 202",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802352023",
"telephone_number": "719-375-2955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUNDVIG",
"first_name": "MELANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-21",
"last_updated": "2023-10-04",
"certification_date": "2020-10-21",
"deactivation_date": "2023-09-25",
"reactivation_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "MFTC.0014509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.