Provider Demographics
NPI:1639414378
Name:PAPKE, ANNIKA ELIZABETH (MA, LPC, LAC)
Entity Type:Individual
Prefix:
First Name:ANNIKA
Middle Name:ELIZABETH
Last Name:PAPKE
Suffix:
Gender:F
Credentials:MA, LPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7035 W 120TH AVE APT 22
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-2349
Mailing Address - Country:US
Mailing Address - Phone:303-242-7981
Mailing Address - Fax:720-923-6971
Practice Address - Street 1:10465 MELODY DR STE 226
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234
Practice Address - Country:US
Practice Address - Phone:720-721-3076
Practice Address - Fax:720-923-6971
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-06
Last Update Date:2019-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0000301101YA0400X
COLPC.0011624101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO00520772Medicaid