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FEARLESSLY AUTHENTIC PSYCHOLOGY, LLC
NPI 1780312298
Psychologist - Clinical in Lakewood, CO

Active since August 11, 2022
777 S WADSWORTH BLVD STE 102, LAKEWOOD, CO 80226(913) 208-4241 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 16, 2022, Aug 11, 2022 (2 updates tracked since 2022).

About Fearlessly Authentic Psychology, Llc NPPES

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

FEARLESSLY AUTHENTIC PSYCHOLOGY, LLC (NPI 1780312298), doing business as Fearlessly Authentic Psychology, is a healthcare organization registered as a clinical in Lakewood, Colorado and active in the NPI registry since August 2022. The organization lists Kimberly Garrison, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1780312298
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameFEARLESSLY AUTHENTIC PSYCHOLOGY, LLC
Location Address777 S WADSWORTH BLVD STE 102Lakewood, CO 80226-4300
Mailing Address332 S Carr StLakewood, CO 80226-3015 · (913) 208-4241
Phone(913) 208-4241
Organization SubpartNo
Authorized OfficialKimberly GarrisonClinical Director · (913) 208-4241
Enumeration DateAugust 11, 2022
Last NPPES UpdateAugust 16, 20222 updates tracked since enumeration
NPPES CertifiedAugust 16, 2022
✔ NPI 1780312298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
777 S WADSWORTH BLVD STE 102, Lakewood, CO 80226
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Other Names 1

Doing Business AsFearlessly Authentic Psychology

Other Identifiers 1

Other1992011373CO · Npi

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

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 Fearlessly Authentic Psychology, LLC's NPI number?

The NPI number for Fearlessly Authentic Psychology, LLC is 1780312298. It was assigned to this organization in the NPPES registry on August 11, 2022. The provider is doing business as Fearlessly Authentic Psychology.

Where is Fearlessly Authentic Psychology, LLC located?

Fearlessly Authentic Psychology, LLC is located at 777 S Wadsworth Blvd Ste 102, Lakewood, CO 80226. The listed phone number is (913) 208-4241.

What is Fearlessly Authentic Psychology, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Fearlessly Authentic Psychology, LLC was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.