MEDICARE: CENTERJOURNEY COUNSELING

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	LPC0011834	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1336575513	OTHER		INDIVIDUAL NPI

General Provider Information

NPI Number	:	1942654926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTERJOURNEY COUNSELING

Provider Business Mailing Address
First Line	:	7865 E MISSISSIPPI AVE
Second Line	:	405
City	:	DENVER
State	:	CO
Zip	:	80247-2025
Country	:	US
Telephone Number	:	720-288-0328
Fax Number	:

Provider Business Practice Location Address
First Line	:	2821 S PARKER RD
Second Line	:	#159
City	:	AURORA
State	:	CO
Zip	:	80014-2735
Country	:	US
Telephone Number	:	720-288-0328
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOTHERAPIST
Name	:	BARBARA L KAMLET
Credential	:	LPC
Telephone Number	:	720-288-0328

Provider Enumeration Date	:	04/15/2016
Last Update Date	:	04/15/2016

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Directions to “CENTERJOURNEY COUNSELING ” Practice Location

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