Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pine Grove Counseling Center LLC

Organization Clinical Social Worker · NPI 1255080628

Pine Grove Counseling Center LLC provides Clinical Social Worker services in Denver, Colorado. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1500 N Grant St Ste N
Denver, CO 80203-1859
Phone: (443) 834-6960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1255080628
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lydia Shannon — Owner · (443) 834-6960
NPI enumeratedMarch 22, 2022
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026
Mailing address1500 N Grant St Ste N, Denver, CO 80203-1859

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