OrganizationActive
Pine Grove Counseling Center LLC
NPI 1255080628 · Clinical Social Worker · Denver, CO
Provider details
- NPI number
- 1255080628
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Lydia Shannon, Owner(443) 834-6960
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1500 N Grant St Ste N
Denver, CO 80203-1859
Phone: (443) 834-6960
Street-level locationGet directions
Mailing address
1500 N Grant St Ste N
Denver, CO 80203-1859
Registry dates
- Enumerated
- 2022-03-22
- Last updated
- 2026-03-05
- Certified
- 2026-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.