Healthcare Provider Details

I. General information

NPI: 1992528962
Provider Name (Legal Business Name): ZINA ORTIZ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2024
Last Update Date: 10/25/2025
Certification Date: 10/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7596 W JEWELL AVE # 1-202
LAKEWOOD CO
80232-6889
US

IV. Provider business mailing address

7596 W JEWELL AVE # 1-202
LAKEWOOD CO
80232-6889
US

V. Phone/Fax

Practice location:
  • Phone: 719-223-3261
  • Fax: 844-412-7875
Mailing address:
  • Phone: 719-223-3261
  • Fax: 844-412-7875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ZINA ORTIZ
Title or Position: CEO
Credential: LPC
Phone: 719-223-3261