Provider Demographics
NPI:1710413521
Name:ROYBAL, CASSANDRA LEIGH (LPC)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:LEIGH
Last Name:ROYBAL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:LEIGH
Other - Last Name:BRADLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9615 E COUNTY LINE RD STE B-270
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3527
Mailing Address - Country:US
Mailing Address - Phone:720-279-4451
Mailing Address - Fax:
Practice Address - Street 1:9615 E COUNTY LINE RD STE B-270
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3527
Practice Address - Country:US
Practice Address - Phone:720-279-4451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0015243101YM0800X
COLPC.0015470101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health