Healthcare Provider Details

I. General information

NPI: 1134065287
Provider Name (Legal Business Name): REBECCA SANELLI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: REBECC JACOBS

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7851 S ELATI ST STE 207
LITTLETON CO
80120-8080
US

IV. Provider business mailing address

PO BOX 12318
DENVER CO
80212-0318
US

V. Phone/Fax

Practice location:
  • Phone: 720-281-9230
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0023175
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: