Healthcare Provider Details

I. General information

NPI: 1932019452
Provider Name (Legal Business Name): MOUNTAIN AND PRAIRIE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 W 91ST AVE APT C304
THORNTON CO
80260-8847
US

IV. Provider business mailing address

700 W 91ST AVE APT C304
THORNTON CO
80260-8847
US

V. Phone/Fax

Practice location:
  • Phone: 720-649-0831
  • Fax: 877-497-3823
Mailing address:
  • Phone: 720-649-0831
  • Fax: 877-497-3823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BRIAN EDWARD RIXON
Title or Position: MEMBER / REGISTERED AGENT / OWNER
Credential: LPC, LAC
Phone: 720-649-0831