MEDICARE: MR. DONALD RY MITTLESTADT III MA, LPC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPC13386	CO

General Provider Information

NPI Number	:	1376885178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DONALD RY MITTLESTADT III MA, LPC

Provider Business Mailing Address
First Line	:	80 GARDEN CTR STE 156
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80020-1790
Country	:	US
Telephone Number	:	303-578-8501
Fax Number	:

Provider Business Practice Location Address
First Line	:	80 GARDEN CTR STE 156
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80020-1790
Country	:	US
Telephone Number	:	303-578-8501
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2013
Last Update Date	:	09/24/2018

Similar Medicare Providers

1093647018 — LAVENDER HEART COUNSELING PLLC
Practice Location Address:

80 GARDEN CTR STE 156
BROOMFIELD, CO
80020-1790

Practice Phone: 720-370-9752
Practice Fax:

1437147444 — DR. TANYA S TANNER PHD APN CNM PMHNP-BC
Practice Location Address:

80 GARDEN CTR STE 138
BROOMFIELD, CO
80020-1790

Practice Phone: 720-415-0101
Practice Fax: 833-907-2210

1255463345 — VIRGINIA LEON M.A.
Practice Location Address:

80 GARDEN CTR STE 140
BROOMFIELD, CO
80020-1790

Practice Phone: 720-295-3012
Practice Fax:

1750698916 — CHRISTIE ANN DONLEY
Practice Location Address:

80 GARDEN CTR STE 152
BROOMFIELD, CO
80020-1790

Practice Phone: 720-254-1739
Practice Fax:

1215282074 — ALANNA JEAN BELL LPC
Practice Location Address:

80 GARDEN CTR STE 162
BROOMFIELD, CO
80020-1790

Practice Phone: 970-433-1507
Practice Fax:

1689016404 — ALLISON DOUGLAS GUERRERO LPC
Practice Location Address:

80 GARDEN CTR STE 150
BROOMFIELD, CO
80020-1790

Practice Phone: 720-487-5300
Practice Fax:

Directions to “ MR. DONALD RY MITTLESTADT III MA, LPC” 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.