Provider Demographics
NPI:1659883296
Name:GERARDI, GAGE (LPC, LAC)
Entity Type:Individual
Prefix:
First Name:GAGE
Middle Name:
Last Name:GERARDI
Suffix:
Gender:F
Credentials:LPC, LAC
Other - Prefix:
Other - First Name:GENAE
Other - Middle Name:
Other - Last Name:GERARDI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, LAC
Mailing Address - Street 1:9480 DOLTON WAY
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-4952
Mailing Address - Country:US
Mailing Address - Phone:720-280-0397
Mailing Address - Fax:
Practice Address - Street 1:9480 DOLTON WAY
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126-4952
Practice Address - Country:US
Practice Address - Phone:720-280-0397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0001448101YA0400X
COLPC.0017097101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherNA