MEDICARE: NICOLE ROBERTS

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	LPC.0012984	CO

General Provider Information

NPI Number	:	1770905549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE ROBERTS

Provider Business Mailing Address
First Line	:	1210 S PARKER RD STE 210
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-2163
Country	:	US
Telephone Number	:	303-324-8220
Fax Number	:

Provider Business Practice Location Address
First Line	:	1210 S PARKER RD STE 210
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-2163
Country	:	US
Telephone Number	:	303-324-8220
Fax Number	:

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

Provider Enumeration Date	:	01/14/2014
Last Update Date	:	06/26/2025

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Directions to “ NICOLE ROBERTS ” Practice Location

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