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

Mr. Gerry Threatt, LMHCLH61288295

Individual provider Mental Health Counselor · NPI 1285259002

Mr. Gerry Threatt, LMHCLH61288295 is a Mental Health Counselor in Penrose, Colorado. Qualified in 2018, 8 years ago. Practices with Mindful Therapy Group PC, a 646-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
8
Licensed in
WA
In the registry since
2020

Practice location Address checks out

15 Grant St
Penrose, CO 81240-9643
Phone: (785) 375-2608
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LH61288295 (WA)

Record details

NPI number1285259002
Entity typeIndividual (Type 1)
GenderMale
Credentials LMHCLH61288295
Sole proprietorYes
NPI enumeratedJune 9, 2020
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mindful Therapy Group Pc — 646 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Penrose