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MEDITELECARE OF COLORADO LLC
NPI 1407471774
Psychologist - Clinical in Littleton, CO

Active since June 12, 2020
1900 W LITTLETON BLVD, LITTLETON, CO 80120(860) 788-6404(860) 829-0495 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 5, 2025, Sep 4, 2024, Jun 12, 2020 (3 updates tracked since 2020).

About Meditelecare Of Colorado Llc NPPES

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

MEDITELECARE OF COLORADO LLC (NPI 1407471774) is a healthcare organization registered as a clinical in Littleton, Colorado and active in the NPI registry since June 2020. The organization lists Andrea Godfrey, Credentialing & Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1407471774
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMEDITELECARE OF COLORADO LLC
Location Address1900 W LITTLETON BLVDLittleton, CO 80120-2023
Mailing AddressPo Box 1595Middletown, CT 06457-8095 · (860) 788-6404
Phone(860) 788-6404
Fax(860) 829-0495
Organization SubpartNo
Authorized OfficialAndrea GodfreyCredentialing & Enrollment Manager · (860) 398-6441
Enumeration DateJune 12, 2020
Last NPPES UpdateMay 5, 20253 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1407471774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
1900 W LITTLETON BLVD, Littleton, CO 80120
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meditelecare Of Colorado Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Meditelecare Of Colorado LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Jennifer Glidewell, PSY.D.
Clinical Psychologist
NPI 1588199970
655 W PEAKVIEW AVE
Littleton, CO 80120
(303) 909-6893
✔ PECOS1.2 mi
Emily Drury, APN
Nurse Practitioner
NPI 1659889319
6980 WEEPING WILLOW DR
Colorado Springs, CO 80925
(573) 682-4970
✔ PECOS✔ Accepts Medicare64 mi
Glenn Ferguson, PHD
Clinical Psychologist
NPI 1922391994
206 S CORONADO AVE
Espanola, NM 87532
(860) 788-6404
✔ PECOS✔ Accepts Medicare256 mi
Carey Reed, APN
Nurse Practitioner
NPI 1962944926
206 S CORONADO AVE
Espanola, NM 87532
(860) 788-6404
✔ PECOS✔ Accepts Medicare256 mi
Kimberly Souza, FNP
Nurse Practitioner
NPI 1902200645
400 E COURT AVE STE 110
Des Moines, IA 50309
(860) 788-6404
✔ PECOS✔ Accepts Medicare614 mi
Abbas Khan
Mental Health Counselor
NPI 1497395396
15235 BURBANK BLVD STE A2
Sherman Oaks, CA 91411
(424) 407-1414
✔ PECOS✔ Accepts Medicare833 mi
Lenora Levin
Clinical Social Worker
NPI 1093227613
405 RUSHING DR
Herrin, IL 62948
(618) 993-3300
✔ PECOS✔ Accepts Medicare872 mi
Susan Weber, PSYD
Clinical Psychologist
NPI 1023349073
323 ZACHARY TAYLOR HWY
Flint Hill, VA 22627
(540) 671-3563
✔ PECOS✔ Accepts Medicare1,440 mi
Natalie Jean Baptiste, APRN
Nurse Practitioner
NPI 1598426371
8461 LAKE WORTH RD STE 238
Lake Worth, FL 33467
(561) 203-5930
✔ PECOS✔ Accepts Medicare1,687 mi

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 Meditelecare Of Colorado LLC's NPI number?

The NPI number for Meditelecare Of Colorado LLC is 1407471774. It was assigned to this organization in the NPPES registry on June 12, 2020.

Where is Meditelecare Of Colorado LLC located?

Meditelecare Of Colorado LLC is located at 1900 W Littleton Blvd, Littleton, CO 80120. The listed phone number is (860) 788-6404.

What is Meditelecare Of Colorado LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Meditelecare Of Colorado LLC enrolled in Medicare?

Yes. Meditelecare Of Colorado LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Meditelecare Of Colorado LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Meditelecare Of Colorado 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. The largest specialties are Nurse Practitioner (4), Clinical Psychologist (3) and Clinical Social Worker (1). Of these, 1 practice 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 Meditelecare Of Colorado LLC was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.