Provider Demographics
NPI:1356985071
Name:YEAGER, RICHARD (LPCC)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:YEAGER
Suffix:
Gender:
Credentials:LPCC
Other - Prefix:
Other - First Name:RICHARD
Other - Middle Name:
Other - Last Name:YEAGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2851 S PARKER RD STE 1040
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2723
Mailing Address - Country:US
Mailing Address - Phone:719-749-6860
Mailing Address - Fax:
Practice Address - Street 1:2851 S PARKER RD STE 1040
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2723
Practice Address - Country:US
Practice Address - Phone:719-749-6860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-06
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0021688101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty