Provider Demographics
NPI:1639646466
Name:INSIGHT PSYCHOTHERAPY AND CONSULTING, LLC
Entity Type:Organization
Organization Name:INSIGHT PSYCHOTHERAPY AND CONSULTING, LLC
Other - Org Name:INTEGRATING INSIGHTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNDSEY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LAC
Authorized Official - Phone:303-883-6921
Mailing Address - Street 1:2503 WALNUT ST STE 201
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-5745
Mailing Address - Country:US
Mailing Address - Phone:303-883-6921
Mailing Address - Fax:303-362-9464
Practice Address - Street 1:2503 WALNUT ST STE 201
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-5745
Practice Address - Country:US
Practice Address - Phone:303-883-6921
Practice Address - Fax:303-362-9464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-30
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO64855759Medicaid