Healthcare Provider Details

I. General information

NPI: 1588376289
Provider Name (Legal Business Name): NATALIE LYNN PEPPERCORN MFTC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2022
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8380 ZUNI ST STE 300
DENVER CO
80221-4689
US

IV. Provider business mailing address

3028 S ELATI ST
ENGLEWOOD CO
80110-1443
US

V. Phone/Fax

Practice location:
  • Phone: 970-430-5174
  • Fax:
Mailing address:
  • Phone: 303-522-3715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0022994
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFTC.0014404
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: