Provider Demographics
NPI:1952907750
Name:NEPOTE, NICOLE (ATR, LPC)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:NEPOTE
Suffix:
Gender:F
Credentials:ATR, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1153 BERGEN PKWY
Mailing Address - Street 2:STE I, PMB 127
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439
Mailing Address - Country:US
Mailing Address - Phone:743-235-8224
Mailing Address - Fax:
Practice Address - Street 1:1153 BERGEN PKWY
Practice Address - Street 2:STE I, PMB 127
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439
Practice Address - Country:US
Practice Address - Phone:743-235-8224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-07
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0018498101YP2500X
COLPC.0010498101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional