Provider Demographics
NPI:1417962234
Name:SAMARITAN COUNSELING CENTER
Entity Type:Organization
Organization Name:SAMARITAN COUNSELING CENTER
Other - Org Name:CENTUS COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:BRETZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-639-5240
Mailing Address - Street 1:7887 EAST BELLEVIEW AVENUE
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80111-6097
Mailing Address - Country:US
Mailing Address - Phone:303-639-5240
Mailing Address - Fax:303-639-5243
Practice Address - Street 1:7887 EAST BELLEVIEW AVENUE
Practice Address - Street 2:SUITE 1100
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80111-6097
Practice Address - Country:US
Practice Address - Phone:303-639-5240
Practice Address - Fax:303-639-5243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20061225881101YM0800X
251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251V00000XAgenciesVoluntary or CharitableGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO10326871Medicaid
COCU1506Medicare UPIN