Individual provider Active NPI

Michaela Black, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Englewood, CO
National Provider Identifier
1962268607
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.1000567-NP Issued in CO
Practice address
304 Inverness Way S Ste 225
Englewood, CO 80112-5841
Phone
(970) 310-3406
NPI assigned
Feb 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.1655261 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.1000567-NP CO Primary

Addresses

Primary practice location

304 Inverness Way S Ste 225
Englewood, CO 80112-5841

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250402000681 CO Practitioner - Nurse Practitioner 5294258026 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart Centered Counseling PCGroup PAC ID 8628373651, 296 clinicians

Practice addresses (Care Compare)

304 Inverness Way S
Suite 225
Englewood, CO 80112-5841
Phone (970) 310-3406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.1655261COMDRegistered Nurse
APN.1000567-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Counseling, PC Psychiatric/Mental Health CurrentSince Mar 15, 2026 Accepting new patients
Heart Centered Counseling, PC Psychiatric/Mental Health CurrentSince Mar 15, 2026 Accepting new patients
Serenity TMS Centers LLC CurrentSince Mar 26, 2025 Accepting new patients
Mile High Psychiatry LLC Psychiatric/Mental Health Past Accepting new patients

Locations

6071 E Woodmen Rd
Ste 200
Colorado Springs, CO 80923
Phone (719) 212-2108

304 Inverness Way S
Ste 225
Englewood, CO 80112
Phone (720) 255-8730

425 S Cherry St
Fl 10
Glendale, CO 80246
Phone (720) 307-6670

255 S Routt St
Ste 250
Lakewood, CO 80228
Phone (720) 712-0300

2695 Rocky Mountain Ave
Ste 350
Loveland, CO 80538

2695 Rocky Mountain Ave
Ste 260
Loveland, CO 80538

9399 Crown Crest Blvd
Ste 401
Parker, CO 80138
Phone (720) 274-2544

500 Discovery Pkwy
Ste 250
Superior, CO 80027
Phone (720) 302-1505

3300 N Triumph Blvd
Ste 500
Lehi, UT 84043
Phone (801) 821-2333

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1962268607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630",
            "fax_number": "888-965-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 INVERNESS WAY S STE 225",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125841",
            "telephone_number": "970-310-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "MICHAELA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-21",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1655261",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.1000567-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.