Provider Demographics
NPI:1093013336
Name:VINCIONI, DENISE E (LPC)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:E
Last Name:VINCIONI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2822 E COLFAX AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1507
Mailing Address - Country:US
Mailing Address - Phone:303-953-2299
Mailing Address - Fax:303-953-8830
Practice Address - Street 1:2822 E COLFAX AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-1507
Practice Address - Country:US
Practice Address - Phone:303-953-2299
Practice Address - Fax:303-953-8830
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-10
Last Update Date:2017-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACC.0004689101YA0400X
COLPC.0004625101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO30056527Medicaid