Healthcare Provider Details

I. General information

NPI: 1205750601
Provider Name (Legal Business Name): INGRID NATALIA GROOVER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1228 8TH ST
GREELEY CO
80631-3216
US

IV. Provider business mailing address

1924 DORSET DR
FORT COLLINS CO
80526-1150
US

V. Phone/Fax

Practice location:
  • Phone: 720-663-0233
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC.0018538
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberACD.0001910
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: