Healthcare Provider Details

I. General information

NPI: 1386587798
Provider Name (Legal Business Name): JANENE DEE GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4851 INDEPENDENCE ST
WHEAT RIDGE CO
80033-6715
US

IV. Provider business mailing address

9539 ELIZABETH CT
THORNTON CO
80229-3914
US

V. Phone/Fax

Practice location:
  • Phone: 303-425-0300
  • Fax: 303-432-5036
Mailing address:
  • Phone: 720-628-2299
  • Fax: 720-628-2299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: