Active NPI
James Pinkney III
- Professional Counselor
- Aurora, CO
National Provider Identifier
1003368846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0014080
- Practice address
- 12101 E 2ND Ave
Suite 101
Aurora, CO 80011-8327 - Phone
- (303) 909-9952
- Fax
- (303) 395-0430
- NPI assigned
- Oct 27, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0014080 | CO | Primary |
Addresses
Primary practice location
12101 E 2ND Ave
Suite 101
Aurora, CO 80011-8327
Mailing address
12101 E 2ND Ave Ste 101
Colorado School for Family Therapy
Aurora, CO 80011-8328
Phone (303) 909-9952
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YP2500X | Medicaid | CO | |
| 101YA0400X | Medicaid | CO | |
| 103TB0200X | Medicaid | CO | |
| 101M0800X | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0014080 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477526400000",
"number": "1003368846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12101 E 2ND AVE STE 101",
"address_2": "COLORADO SCHOOL FOR FAMILY THERAPY",
"city": "AURORA",
"state": "CO",
"postal_code": "800118328",
"telephone_number": "303-909-9952",
"fax_number": "303-395-0430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12101 E 2ND AVE",
"address_2": "SUITE 101",
"city": "AURORA",
"state": "CO",
"postal_code": "800118327",
"telephone_number": "303-909-9952",
"fax_number": "303-395-0430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINKNEY",
"first_name": "JAMES",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-27",
"last_updated": "2016-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0014080",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101YP2500X",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101YA0400X",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103TB0200X",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101M0800X",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.