Healthcare Provider Details

I. General information

NPI: 1164840641
Provider Name (Legal Business Name): RACHEL WHETSTONE BALDERRAMA DEL HIERRO M.ED, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2014
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6911 S YOSEMITE ST
CENTENNIAL CO
80112-1426
US

IV. Provider business mailing address

1632 YOSEMITE ST
DENVER CO
80220-5403
US

V. Phone/Fax

Practice location:
  • Phone: 303-221-7827
  • Fax:
Mailing address:
  • Phone: 770-715-6872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0018147
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLCPC03963
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberMHC.LH.61685085
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: