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

Ethan Leandro Griego

Individual provider Professional Counselor · NPI 1760020903

Ethan Leandro Griego is a Mental Health Counselor in Denver, Colorado. Qualified in 2023, 3 years ago. Practices with Mental Health Center of Denver, a 86-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
3
Licensed in
CO
In the registry since
2019
Specialties on file
2

Practice location Address checks out

4455 E 12th Ave
Denver, CO 80220-2415
Phone: (303) 504-7700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0022402 (CO)
Mental Health Counselor Taxonomy 101YM0800X · Licence 0022402 (CO)

Record details

NPI number1760020903
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 18, 2019
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mental Health Center Of Denver — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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