Authentic Connections Therapy and Wellness

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

AUTHENTIC CONNECTIONS THERAPY AND WELLNESS

Practice address

2460 W 26TH Ave Ste 450C
Denver, CO 80211-5315

Phone

(720) 386-4046

NPI assigned

Sep 30, 2024

Last updated

Sep 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mallaree Blake, PSYDNPI 1629385323

Title

Partner

Phone

(720) 964-1770

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mallaree Blake, PSYD

  • Clinical Psychologist
  • Denver, CO
  • NPI 1629385323
  NPD Authorized official

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1922826973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 W 26TH AVE STE 450C",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802115315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 W 26TH AVE STE 450C",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802115315",
            "telephone_number": "720-386-4046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5350 S Roslyn St Ste 360",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801112147",
            "country_code": "US",
            "telephone_number": "720-386-4046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AUTHENTIC CONNECTIONS THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "MALLAREE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "720-964-1770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jane Austin, NP
• Robert C Austin Jr., MD
• Sydney Paige Austin
• Kyra Elise Auten, DPT
• Authentic Ascent Therapy LLC
• Authentic Hearts Counseling, PLLC
• Authentic Home Care Inc
• Authentic Home Care Inc
• Authentic Home Care Inc
• Authentic Home Care, Inc.

• Psychologist in Denver, CO
• Providers in Denver, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.