Individual provider Active NPI

Emily Tiede

  • Professional Counselor
  • Denver, CO
National Provider Identifier
1962270959
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0020120 Issued in CO
Practice address
8811 E Hampden Ave Ste 100
Denver, CO 80231-4931
Phone
(720) 949-7250
NPI assigned
Dec 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0020120 CO Primary

Addresses

Primary practice location

8811 E Hampden Ave Ste 100
Denver, CO 80231-4931

Mailing address

8811 E Hampden Ave Ste 100
Denver, CO 80231-4931

Other practice location 1

6507 S Santa Fe Dr
Littleton, CO 80120-2910
Phone (303) 730-8858

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231229002718 CO Practitioner - Mental Health Counselor 5092165274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Peregrine Counseling and WellnessGroup PAC ID 5597204594, 2 clinicians

Practice addresses (Care Compare)

8811 E Hampden Ave
Suite 100
Denver, CO 80231-4931
Phone (720) 949-7250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arapahoe Mental Health Center, Inc Current Accepting new patients
Peregrine Counseling and Wellness Professional CurrentSince Jul 1, 2024 Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

8811 E Hampden Ave
Ste 100
Denver, CO 80231
Phone (720) 515-3620

116 Inverness Dr E
Ste 105
Englewood, CO 80112

5524 S Prince St
Littleton, CO 80120
Phone (303) 730-0797

6507 S Santa Fe Dr
Littleton, CO 80120
Phone (303) 730-0797

10350 Dransfeldt Rd
Parker, CO 80134
Phone (303) 597-3860

Organizations & group practices 4

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": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1962270959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 E HAMPDEN AVE STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 E HAMPDEN AVE STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314931",
            "telephone_number": "720-949-7250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6507 S Santa Fe Dr",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801202910",
            "country_code": "US",
            "telephone_number": "303-730-8858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIEDE",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0020120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.