Healthcare Provider Details

I. General information

NPI: 1942176185
Provider Name (Legal Business Name): CONSCIOUS PSYCHIATRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2025
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 S CHERRY ST STE 1675
DENVER CO
80246-2532
US

IV. Provider business mailing address

950 S CHERRY ST STE 1675
DENVER CO
80246-2532
US

V. Phone/Fax

Practice location:
  • Phone: 303-558-6592
  • Fax: 720-637-6635
Mailing address:
  • Phone: 303-558-6592
  • Fax: 720-637-6635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JORDAN GOUGH
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 252-256-1692