Healthcare Provider Details

I. General information

NPI: 1205743523
Provider Name (Legal Business Name): MR. JAMIE GOLDEN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
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

3073 FULTON CIR
BOULDER CO
80301-2292
US

V. Phone/Fax

Practice location:
  • Phone: 720-863-6100
  • Fax:
Mailing address:
  • Phone: 248-885-9990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC.0024666
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: