MEDICARE: OPEN MINDED THERAPY LLC

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

General Provider Information

NPI Number	:	1871458281
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPEN MINDED THERAPY LLC

Provider Business Mailing Address
First Line	:	215 S WADSWORTH BLVD STE 400
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80226-1566
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 S WADSWORTH BLVD STE 400
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80226-1566
Country	:	US
Telephone Number	:	720-441-3046
Fax Number	:

Authorized Official
Title or Position	:	LICENSED PROFESSIONAL COUNSELOR
Name	:	NATALIA MARIA RODRIGUEZ
Credential	:	LPC
Telephone Number	:	407-558-0251

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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Directions to “OPEN MINDED THERAPY LLC ” Practice Location

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