| Prosperous Pine Counseling LLC | |
|
15200 E Girard Ave Ste 2500 Aurora CO 80014-5005 | |
| (720) 951-0996 | |
| Not Available |
| Full Name | Prosperous Pine Counseling LLC |
|---|---|
| Speciality | Counselor |
| Location | 15200 E Girard Ave Ste 2500, Aurora, Colorado |
| Authorized Official Name and Position | Jennifer Fay-vellos (OWNER) |
| Authorized Official Contact | 7209510996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosperous Pine Counseling LLC 15200 E Girard Ave Ste 2500 Aurora CO 80014-5005 Ph: (720) 951-0996 | Prosperous Pine Counseling LLC 15200 E Girard Ave Ste 2500 Aurora CO 80014-5005 Ph: (720) 951-0996 |
| NPI Number | 1700747201 |
|---|---|
| Provider Enumeration Date | 11/24/2025 |
| Last Update Date | 01/07/2026 |
| Certification Date | 01/07/2026 |
| Medicare PECOS PAC ID | 9133606916 |
|---|---|
| Medicare Enrollment ID | O20260122003821 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700747201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
| Provider Name | Jennifer Fay-vellos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861929119 PECOS PAC ID: 3476992744 Enrollment ID: I20240418004126 |
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