Provider Demographics
| NPI: | 1942969407 |
|---|---|
| Name: | INTEGRATING INSIGHTS, INC |
| Entity Type: | Organization |
| Organization Name: | INTEGRATING INSIGHTS, INC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | EXECUTIVE DIRECTOR AND PSYCHOTHERAP |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | LYNDSEY |
| Authorized Official - Middle Name: | |
| 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: | 303-872-4077 |
| 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: | 303-872-4077 |
| Practice Address - Fax: | 303-362-9464 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2021-12-13 |
| Last Update Date: | 2021-12-13 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 251S00000X | Agencies | Community/Behavioral Health | Group - Multi-Specialty | |
| No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
| No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
| No | 103G00000X | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | Group - Multi-Specialty | |
| No | 103TP2701X | Behavioral Health & Social Service Providers | Psychologist | Group Psychotherapy | Group - Multi-Specialty |
| No | 106S00000X | Behavioral Health & Social Service Providers | Behavior Technician | Group - Multi-Specialty | |
| No | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | Group - Multi-Specialty | |
| No | 163WP0809X | Nursing Service Providers | Registered Nurse | Psychiatric/Mental Health, Adult | Group - Multi-Specialty |
| No | 171400000X | Other Service Providers | Health & Wellness Coach | Group - Multi-Specialty | |
| No | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | Group - Multi-Specialty | |
| No | 175T00000X | Other Service Providers | Peer Specialist | Group - Multi-Specialty | |
| No | 207SG0201X | Allopathic & Osteopathic Physicians | Medical Genetics | Clinical Genetics (M.D.) | Group - Multi-Specialty |
| No | 207SM0001X | Allopathic & Osteopathic Physicians | Medical Genetics | Molecular Genetic Pathology | Group - Multi-Specialty |
| No | 251B00000X | Agencies | Case Management | Group - Multi-Specialty | |
| No | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| CO | 1578198271 | Medicaid | |
| CO | 1326506452 | Medicaid | |
| CO | 1053545897 | Medicaid | |
| CO | 1912580101 | Medicaid | |
| CO | 1336619899 | Medicaid | |
| CO | 1346368396 | Medicaid | |
| CO | 1306329412 | Medicaid | |
| CO | 1699005009 | Medicaid | |
| CO | 1831649367 | Medicaid | |
| CO | 1033757042 | Medicaid | |
| CO | 1528641669 | Medicaid | |
| CO | 1871177832 | Medicaid |
