Healthcare Provider Details

I. General information

NPI: 1912922683
Provider Name (Legal Business Name): DENVER PSYCHOTHERAPY AND CONSULTATION SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 W 10TH AVE
DENVER CO
80204-4013
US

IV. Provider business mailing address

PO BOX 300265
DENVER CO
80203-0265
US

V. Phone/Fax

Practice location:
  • Phone: 303-399-9988
  • Fax: 303-399-9977
Mailing address:
  • Phone: 303-399-9988
  • Fax: 303-399-9977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1570
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number116891
License Number StateCO

VIII. Authorized Official

Name: MR. JAMES RYAN KENNEDY
Title or Position: CLINICAL DIRECTOR
Credential: MA, LPC, RN, ADTR
Phone: 303-399-9988