MEDICARE: COLORADO CENTER FOR COUNSELING AND PSYCHOTHERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor
3	1041C0700X	Clinical Social Worker
4	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1184035248
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLORADO CENTER FOR COUNSELING AND PSYCHOTHERAPY LLC

Provider Business Mailing Address
First Line	:	1479 LINCOLN CIR
Second Line	:
City	:	LONGMONT
State	:	CO
Zip	:	80501-1879
Country	:	US
Telephone Number	:	303-776-6376
Fax Number	:

Provider Business Practice Location Address
First Line	:	1479 LINCOLN CIR
Second Line	:
City	:	LONGMONT
State	:	CO
Zip	:	80501-1879
Country	:	US
Telephone Number	:	303-776-6376
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MISS PHYLLIS TAINEY
Credential	:	LCSW, CAC III
Telephone Number	:	303-776-6376

Provider Enumeration Date	:	05/12/2014
Last Update Date	:	05/12/2014

Similar Medicare Providers

1861342701 — CAROLINE DANIELLE RICE CNM
Practice Location Address:

1551 PROFESSIONAL LN UNIT 200
LONGMONT, CO
80501-6964

Practice Phone: 303-315-0400
Practice Fax: 303-724-5550

1700731221 — ANIMAL HEART PLAY THERAPY, PLLC
Practice Location Address:

421 21ST AVE STE 12
LONGMONT, CO
80501-1470

Practice Phone: 720-894-0115
Practice Fax:

1831352418 — DR. JESSICA YOON M.D.
Practice Location Address:

1067 S HOVER ST STE E
LONGMONT, CO
80501-7903

Practice Phone: 720-464-1011
Practice Fax:

1912855909 — BRIANNA E JONES
Practice Location Address:

1308 ASPEN ST
LONGMONT, CO
80501-2504

Practice Phone: 575-708-0018
Practice Fax:

1336902261 — GRANITE HEALTHCARE, INC.
Practice Location Address:

275 S MAIN ST STE 105
LONGMONT, CO
80501-6461

Practice Phone: 303-357-5631
Practice Fax:

1942180849 — MR. PATRICK RUSSELL LCSW
Practice Location Address:

1335 HORIZON LN
LONGMONT, CO
80501-1004

Practice Phone: 720-915-8899
Practice Fax:

Directions to “COLORADO CENTER FOR COUNSELING AND PSYCHOTHERAPY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.