Healthcare Provider Details

I. General information

NPI: 1013713957
Provider Name (Legal Business Name): NEW PARADIGM COUNSELING EDUCATION FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2025
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

757 MALETA LN STE 101
CASTLE ROCK CO
80108-7612
US

IV. Provider business mailing address

757 MALETA LN STE 101
CASTLE ROCK CO
80108-7612
US

V. Phone/Fax

Practice location:
  • Phone: 720-733-8886
  • Fax: 720-552-8122
Mailing address:
  • Phone: 720-733-8886
  • Fax: 720-552-8122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: EVONNE LEVY
Title or Position: ADMINISTRATION
Credential: DDS
Phone: 303-335-6863