Healthcare Provider Details

I. General information

NPI: 1811503584
Provider Name (Legal Business Name): COLIN BAKER LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2020
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2560 SHERIDAN BLVD STE 2
DENVER CO
80214-3011
US

IV. Provider business mailing address

2560 SHERIDAN BLVD STE 2
DENVER CO
80214-3011
US

V. Phone/Fax

Practice location:
  • Phone: 720-496-4982
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0002334
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0016118
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: