Provider Demographics
NPI:1871067660
Name:REINHARDT, MATTHEW JAMES (MA MS LPC)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:JAMES
Last Name:REINHARDT
Suffix:
Gender:M
Credentials:MA MS LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 W HAMPDEN AVE STE 415
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-2151
Mailing Address - Country:US
Mailing Address - Phone:720-316-6288
Mailing Address - Fax:
Practice Address - Street 1:2696 S COLORADO BLVD STE 445
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-5947
Practice Address - Country:US
Practice Address - Phone:720-316-6288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-15
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0014588101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherI HAVE NO OTHER NUMBERS