INDEPTH THERAPY, LLC (NPI# 1003275439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003275439 |
| Entity Type | Organization |
| Organization Name | INDEPTH THERAPY, LLC |
| Practice Address |
1008 Depot Hill Rd Ste 200 Broomfield CO 80020-6724 |
| Practice Telephone | 7202322303 |
| Practice Fax Number | 7203580846 |
| Mailing Telephone | 7202322303 |
| Mailing Fax Number | 7203580846 |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2019-03-01 |
| Authorized Official Name | BETHANY BLANKENHEIM (CO-OWNER) |
| Authorized Official Telephone | 7202322303 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2095 W 6th Ave, Suite 205, Broomfield, CO 800201870 | 7202322303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124635867 | Indepth Therapy, LLC | Counselor | 7400 W Jefferson Ave Ste 111, Lakewood, CO 80235-2001 | 2020-09-27 |
| 1558978452 | Indepth Therapy, LLC | Counselor | 3307 S College Ave Unit 217, Fort Collins, CO 80525-4196 | 2020-09-25 |
| Street Address |
1008 DEPOT HILL RD STE 200 |
| City | BROOMFIELD |
| State | CO |
| Zip Code | 80020-6724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255463386 | Bethany Blankenheim | Counselor | 1008 Depot Hill Rd Ste 200, Broomfield, CO 80020-6724 | 2007-03-12 |
| 1144875196 | Jaime E Smith | Social Worker | 1008 Depot Hill Rd Ste 200, Broomfield, CO 80020-6724 | 2019-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487210993 | Terri Lynn Rist | Day Training, Developmentally Disabled Services | 12161 Crabapple Street, Broomfield, CO 80020 | 2019-05-10 |
| 1063984409 | This Is Massage | Registered Nurse | 2625 W 133rd Circle Dr., Broomfield Co, CO 80020 | 2018-12-26 |
| 1588187678 | Jenny St. Claire | Counselor | 80 Garden Ctr Ste 140, Broomfield, CO 80020 | 2017-07-20 |
| 1649791880 | Brett T Nelson | Dentist | 340 East 1st Avenue, Suite 202, Broomfield, CO 80020 | 2017-06-28 |
| 1073033411 | Patrice S Lensmire Gauthier | Occupational Therapist | 12970 Sheridan Blvd, Broomfield, CO 80020 | 2017-06-27 |
| 1871047753 | Michelle L Fussnecker | Physician Assistant | 6450 W 120th Ave Unit A, Broomfield, CO 80020 | 2016-08-09 |
| 1588029565 | Courtney Miller | Marriage & Family Therapist | 26 Garden Center Suite 1, Broomfield, CO 80020 | 2015-12-17 |
| 1659742161 | Heather Scott | Physician Assistant | 340 E 1st Ave Ste 100, Broomfield, CO 80020 | 2015-10-09 |
| 1154701407 | Emily Arrington | Speech-Language Pathologist | 1790 W 6th Ave, Broomfield, CO 80020 | 2015-06-02 |
| 1376939884 | Retro Dental Group Broomfield | Dentist | 5105 120th Ave, Broomfield, CO 80020 | 2015-04-10 |
| Find all providers in zip 80020 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205445582 | Heather Lynn Frostman | Counselor | 80 Garden Ctr Ste 134, Broomfield, CO 80020-1790 | 2020-07-23 |
| 1831724038 | Alicia Leroy | Counselor | 80 Garden Ctr Ste 254, Broomfield, CO 80020-1735 | 2020-03-08 |
| 1447715776 | Sarah Anne Fletcher | Counselor | 350 Interlocken Blvd Ste 100, Broomfield, CO 80021-3478 | 2019-01-31 |
| 1699249755 | Rebecca Armstrong | Counselor | 1500 Hwy-us 287, Broomfield, CO 80020-8002 | 2019-01-11 |
| 1407326960 | Krista Curl | Counselor | 80 Garden Ctr Ste 42, Broomfield, CO 80020-1777 | 2018-11-27 |
| 1013496413 | Shirell Renee White | Counselor | 2605 W 144th Ave, Broomfield, CO 80023-6203 | 2018-08-07 |
| 1164941712 | Robin J Sackmann | Counselor | 80 Garden Ctr Ste 136, Broomfield, CO 80020-1790 | 2017-09-14 |
| 1588187678 | Jenny St. Claire | Counselor | 80 Garden Ctr Ste 140, Broomfield, CO 80020 | 2017-07-20 |
| 1558712208 | Creative Psychotherapy Institute, LLC | Counselor | 5105 W 128th Pl, Broomfield, CO 80020-5739 | 2016-06-23 |
| 1063867174 | Krista Ochocki | Counselor | 16697 Pinnacle Ct, Broomfield, CO 80023-8051 | 2016-04-26 |
| Find all providers in BROOMFIELD | ||||
| City | BROOMFIELD |
| Zip Code | 80020 |
Please comment or provide details below to improve the information on INDEPTH THERAPY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.