FOUNTAINHEAD PSYCHOLOGY GROUP, LLC
NPI 1043605009
Psychologist - Clinical in Denver, CO
About Fountainhead Psychology Group, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FOUNTAINHEAD PSYCHOLOGY GROUP, LLC (NPI 1043605009) is a healthcare organization registered as a clinical in Denver, Colorado and active in the NPI registry since April 2015. The organization lists Amy B. Crockett, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fountainhead Psychology Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Fountainhead Psychology Group, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Fountainhead Psychology Group, LLC's NPI number?
The NPI number for Fountainhead Psychology Group, LLC is 1043605009. It was assigned to this organization in the NPPES registry on April 6, 2015.
Where is Fountainhead Psychology Group, LLC located?
Fountainhead Psychology Group, LLC is located at 1828 N Clarkson St, Denver, CO 80218. The listed phone number is (303) 818-5540.
What is Fountainhead Psychology Group, LLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Fountainhead Psychology Group, LLC enrolled in Medicare?
Yes. Fountainhead Psychology Group, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fountainhead Psychology Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Fountainhead Psychology Group, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Fountainhead Psychology Group, LLC was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Fountainhead Psychology Group, Llc · NPI 1043605009
Clinical organization in Denver, Colorado. Organization record, active in the CMS NPPES registry since April 6, 2015.
## Identity
- **NPI:** 1043605009 (Entity type: Organization)
- **Enumerated:** April 6, 2015
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Amy Crockett, PRESIDENT
## Practice location
- **Address:** 1828 N CLARKSON ST, Denver, CO 80218-1030
- **Phone:** (303) 818-5540
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Clinical Psychologist) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1043605009) · Data from the CMS NPPES public registry.