Individual provider Active NPI

James Pinkney III

  • Professional Counselor
  • Aurora, CO
National Provider Identifier
1003368846
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0014080 Issued in CO
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

Updated by the provider on Oct 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
101YP2500XMedicaidCO
101YA0400XMedicaidCO
103TB0200XMedicaidCO
101M0800XMedicaidCO

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

LicenseStateTypeSpecialty
0014080COMDProfessional 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.

Verify at the official NPI Registry.