Healthcare Provider Details

I. General information

NPI: 1144185265
Provider Name (Legal Business Name): BG COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 BRIAR DALE DR
CASTLE PINES CO
80108-5503
US

IV. Provider business mailing address

834F S PERRY ST # 1206
CASTLE ROCK CO
80104-1936
US

V. Phone/Fax

Practice location:
  • Phone: 720-791-0309
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: BROOKE GREEN
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC, NCC
Phone: 720-791-0309