Healthcare Provider Details

I. General information

NPI: 1235284993
Provider Name (Legal Business Name): JEREMIAH J REPINSKI LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 W DAVIES AVE N
LITTLETON CO
80120-5252
US

IV. Provider business mailing address

6666 S LINCOLN ST
CENTENNIAL CO
80121-2328
US

V. Phone/Fax

Practice location:
  • Phone: 303-347-6477
  • Fax: 303-797-9358
Mailing address:
  • Phone: 303-347-6477
  • Fax: 303-797-9358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number4865
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3571
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: