PINE GROVE COUNSELING CENTER LLC
NPI 1255080628
Social Worker - Clinical in Denver, CO

Q: What is Pine Grove Counseling Center LLC's NPI number?

The NPI number for Pine Grove Counseling Center LLC is 1255080628. It was assigned to this organization in the NPPES registry on March 22, 2022.

Q: What is Pine Grove Counseling Center LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since March 22, 2022

1500 N GRANT ST STE N, DENVER, CO 80203(443) 834-6960 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2026, May 8, 2025 (2 updates tracked since 2025).

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About Pine Grove Counseling Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINE GROVE COUNSELING CENTER LLC (NPI 1255080628) is a healthcare organization registered as a clinical in Denver, Colorado and active in the NPI registry since March 2022. The organization lists Lydia Shannon, Owner, as its authorized official.

NPPES Registry Identity

NPI1255080628

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NamePINE GROVE COUNSELING CENTER LLC

Location Address1500 N GRANT ST STE NDenver, CO 80203-1859

Mailing Address1500 N Grant St Ste NDenver, CO 80203-1859

Phone(443) 834-6960

Organization SubpartNo

Authorized OfficialLydia ShannonOwner · (443) 834-6960

Enumeration DateMarch 22, 2022

Last NPPES UpdateMarch 5, 20262 updates tracked since enumeration

NPPES CertifiedMarch 5, 2026

✔ NPI 1255080628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1500 N GRANT ST STE N, Denver, CO 80203

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TASHIKIA RICHARDSON RDH

Dental Hygienist