ALEX THEOBALD LMFT
NPI 1962045682
Marriage & Family Therapist in Denver, CO

Q: What is Alex Theobald's NPI number?

The NPI number for Alex Theobald is 1962045682. It was assigned to this individual provider in the NPPES registry on October 25, 2019.

Q: What is Alex Theobald's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Alex Theobald enrolled in Medicare?

No. Alex Theobald has opted out of Medicare through December 10, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Alex Theobald was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since October 25, 2019Opted out of Medicare · through Dec 10, 2026

2121 S ONEIDA ST STE 600, DENVER, CO 80224(720) 863-6100 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2025, Oct 25, 2019 (2 updates tracked since 2019).

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About Alex Theobald Lmft NPPES

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

ALEX THEOBALD LMFT (NPI 1962045682) is an individual marriage & family therapist in Denver, Colorado, licensed in (MFT.0002620) and active in the NPI registry since October 2019. He has opted out of Medicare through December 10, 2026.

NPPES Registry Identity

NPI1962045682

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameALEX THEOBALDCredential: LMFT

Location Address2121 S ONEIDA ST STE 600Denver, CO 80224-2555

Mailing Address2121 S Oneida St Ste 600Denver, CO 80224-2555 · (720) 863-6100

Phone(720) 863-6100

Sole ProprietorNo

Enumeration DateOctober 25, 2019

Last NPPES UpdateOctober 8, 20252 updates tracked since enumeration

NPPES CertifiedOctober 8, 2025

✔ NPI 1962045682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed · MFT.0002620

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2121 S ONEIDA ST STE 600, Denver, CO 80224

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Alex Theobald Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 10, 2024 through December 10, 2026.

Opt-Out Effective DateDecember 10, 2024

Opt-Out In Effect ThroughDecember 10, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 18

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

BROOKS CANADAY

Counselor (Professional)