Healthcare Provider Details

I. General information

NPI: 1134561764
Provider Name (Legal Business Name): ROBIN ANTHONY RUSCIO MA, LPC, LIMHP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2013
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7120 E ORCHARD RD SUITE 370
CENTENNIAL CO
80111-1731
US

IV. Provider business mailing address

7120 E ORCHARD RD SUITE 370
CENTENNIAL CO
80111-1731
US

V. Phone/Fax

Practice location:
  • Phone: 303-748-4730
  • Fax:
Mailing address:
  • Phone: 303-748-4730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3055
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC.0012652
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4085
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: