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: July 19, 2026.

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

  • Organization
  • Psychologist
  • Clinical

About FEARLESSLY AUTHENTIC PSYCHOLOGY, LLC

This page provides the complete NPI Profile along with additional information for Fearlessly Authentic Psychology, Llc, a provider established in Lakewood, Colorado operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1780312298 assigned on August 2022. The practitioner's primary taxonomy code is 103TC0700X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Kimberly Garrison Psy.d. (Clinical Director)

NPI
1780312298 Verify this NPI
Provider Name
FEARLESSLY AUTHENTIC PSYCHOLOGY, LLC
Entity Type
Organization
Location Address
777 S WADSWORTH BLVD STE 102 LAKEWOOD, CO 80226
Location Phone
(913) 208-4241
Mailing Address
332 S CARR ST LAKEWOOD, CO 80226
Mailing Phone
(913) 208-4241
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-11-2022
Last Update Date
08-16-2022
Code Navigator

A clinical psychologist like Fearlessly Authentic Psychology, Llc assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KIMBERLY GARRISON PSY.D.

Authorized Official Title
CLINICAL DIRECTOR
Authorized Official Phone
(913) 208-4241

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1992011373OTHER (01)CONPI

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780312298, enumerated as an "organization" on August 11, 2022.

The provider is located at 777 S WADSWORTH BLVD STE 102 LAKEWOOD, CO 80226 and the phone number is (913) 208-4241.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.