Healthcare Provider Details

I. General information

NPI: 1003483421
Provider Name (Legal Business Name): ANTHONY SCARDIGNO LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2021
Last Update Date: 10/27/2026
Certification Date: 10/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4251 KIPLING ST UNIT 505
WHEAT RIDGE CO
80033-6836
US

IV. Provider business mailing address

19 OLD TOWN SQ # 267
FORT COLLINS CO
80524-2471
US

V. Phone/Fax

Practice location:
  • Phone: 720-504-5169
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0019016
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: