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NPI Code Detail

MEDICARE: MATTHEW JAMES REINHARDT MA MS LPC

MEDICARE: MATTHEW JAMES REINHARDT MA MS 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
1101YM0800XMental Health CounselorLPC.0014588CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NONEOTHERI HAVE NO OTHER NUMBERS

General Provider Information

NPI Number : 1871067660
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW JAMES REINHARDT MA MS LPC
Provider Business Mailing Address
First Line : 750 W HAMPDEN AVE STE 415
Second Line :
City : ENGLEWOOD
State : CO
Zip : 80110-2151
Country : US
Telephone Number : 720-316-6288
Fax Number :
Provider Business Practice Location Address
First Line : 2696 S COLORADO BLVD STE 445
Second Line :
City : DENVER
State : CO
Zip : 80222-5947
Country : US
Telephone Number : 720-316-6288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2019
Last Update Date : 01/15/2019

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