Healthcare Provider Details

I. General information

NPI: 1619417623
Provider Name (Legal Business Name): CHAD CROFT LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2017
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9845 STONEBRIAR LN
PARKER CO
80134-3560
US

IV. Provider business mailing address

9845 STONEBRIAR LN
PARKER CO
80134-3560
US

V. Phone/Fax

Practice location:
  • Phone: 719-231-3291
  • Fax:
Mailing address:
  • Phone: 719-231-3291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0012045
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: