Healthcare Provider Details

I. General information

NPI: 1942148341
Provider Name (Legal Business Name): OLIVIA IVES MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3570 E 12TH AVE STE 209
DENVER CO
80206-3448
US

IV. Provider business mailing address

1400 MONROE ST APT 2
DENVER CO
80206-2792
US

V. Phone/Fax

Practice location:
  • Phone: 970-222-3608
  • Fax:
Mailing address:
  • Phone: 970-222-3608
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberMFTC.0014944
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: