Healthcare Provider Details

I. General information

NPI: 1316890817
Provider Name (Legal Business Name): CYNTHIA GOCZOL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2026
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18975 E 120TH PL
COMMERCE CITY CO
80022-9680
US

IV. Provider business mailing address

18975 E 120TH PL
COMMERCE CITY CO
80022-9680
US

V. Phone/Fax

Practice location:
  • Phone: 303-594-0539
  • Fax:
Mailing address:
  • Phone: 303-594-0539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225XM0800X
TaxonomyMental Health Occupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA CYNTHIA
Title or Position: OWNER
Credential: LCSW
Phone: 303-594-0539