Healthcare Provider Details

I. General information

NPI: 1023824919
Provider Name (Legal Business Name): NATALIE NAGEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2024
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2130 STOUT ST
DENVER CO
80205-2827
US

IV. Provider business mailing address

2130 STOUT ST
DENVER CO
80205-2827
US

V. Phone/Fax

Practice location:
  • Phone: 303-312-9679
  • Fax:
Mailing address:
  • Phone: 303-312-9679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0024736
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: