Provider Demographics
NPI:1407129182
Name:COLORADO COUNSELING CENTER, LLC
Entity Type:Organization
Organization Name:COLORADO COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:D
Authorized Official - Last Name:SIGAFUS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMFT
Authorized Official - Phone:720-878-5159
Mailing Address - Street 1:6590 S VINE ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80121-2761
Mailing Address - Country:US
Mailing Address - Phone:720-468-0101
Mailing Address - Fax:
Practice Address - Street 1:6590 S VINE ST
Practice Address - Street 2:SUITE 101
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80121-2761
Practice Address - Country:US
Practice Address - Phone:720-878-5159
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-11
Last Update Date:2014-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC 0013940101YP2500X
CO099230191041C0700X
COMFT 815106H00000X
COMFT - 882106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty