MEDICARE: STEPH TRINIDAD LPCC

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	101YM0800X	Mental Health Counselor	LPCC.0022049	CO

General Provider Information

NPI Number	:	1851250138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPH TRINIDAD LPCC

Provider Business Mailing Address
First Line	:	1435 YARMOUTH AVE UNIT 205
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80304-4346
Country	:	US
Telephone Number	:	720-470-2238
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 E 58TH AVE STE 128A-2
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80216-1430
Country	:	US
Telephone Number	:	720-773-0384
Fax Number	:

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

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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