Healthcare Provider Details

I. General information

NPI: 1134066202
Provider Name (Legal Business Name): SARAH EMILY PETERSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 S ONEIDA ST STE 600
DENVER CO
80224-2555
US

IV. Provider business mailing address

2121 S ONEIDA ST STE 600
DENVER CO
80224-2555
US

V. Phone/Fax

Practice location:
  • Phone: 720-863-6100
  • Fax: 720-554-7739
Mailing address:
  • Phone: 720-863-6100
  • Fax: 720-554-7739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0023780
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: