Healthcare Provider Details

I. General information

NPI: 1528999166
Provider Name (Legal Business Name): KARLA SUSANA MENDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6860 S YOSEMITE CT STE 2000
CENTENNIAL CO
80112-1448
US

IV. Provider business mailing address

6860 S YOSEMITE CT STE 2000
CENTENNIAL CO
80112-1448
US

V. Phone/Fax

Practice location:
  • Phone: 720-661-4845
  • Fax:
Mailing address:
  • Phone: 720-499-7806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
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
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateCO
# 5
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: