Healthcare Provider Details

I. General information

NPI: 1992893598
Provider Name (Legal Business Name): COLORADO PROFESSIONAL PSYCHOLOGICAL GROUP, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 E MISSISSIPPI AVE SUITE 600
DENVER CO
80246-3048
US

IV. Provider business mailing address

4100 E MISSISSIPPI AVE SUITE 600
DENVER CO
80246-3048
US

V. Phone/Fax

Practice location:
  • Phone: 303-380-0114
  • Fax: 303-759-3515
Mailing address:
  • Phone: 303-380-0114
  • Fax: 303-759-3515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number1183
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number1183
License Number StateCO

VIII. Authorized Official

Name: DR. KAREN LEE HIGGINBOTHAM
Title or Position: PRESIDENT/CLINICAL PSYCHOLOGIST
Credential: PSY.D.
Phone: 303-380-0114