Healthcare Provider Details

I. General information

NPI: 1437083979
Provider Name (Legal Business Name): TRYPHTIN D SCOTT LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 FOXTRAIL DR
LOVELAND CO
80538-9086
US

IV. Provider business mailing address

1635 FOXTRAIL DR
LOVELAND CO
80538-9086
US

V. Phone/Fax

Practice location:
  • Phone: 970-305-5362
  • Fax:
Mailing address:
  • Phone: 970-305-5362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC.0022908
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: