Healthcare Provider Details

I. General information

NPI: 1578493755
Provider Name (Legal Business Name): CHELSEA SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10190 BANNOCK ST STE 120
NORTHGLENN CO
80260-6052
US

IV. Provider business mailing address

8312 ERICKSON BLVD APT 20312
LITTLETON CO
80129-7003
US

V. Phone/Fax

Practice location:
  • Phone: 720-826-3499
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: