Active NPI
Colleen M Tretton, LPC, SEP
- Professional Counselor
- Prescott, AZ
National Provider Identifier
1013400183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-17265
- Practice address
- 2850 W Granite Oaks Dr
Prescott, AZ 86305-4732 - Phone
- (928) 308-3129
- NPI assigned
- Jun 12, 2018
- Sex
- Female
- 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 | LPC-17265 | AZ | Primary |
Addresses
Primary practice location
2850 W Granite Oaks Dr
Prescott, AZ 86305-4732
Mailing address
2850 W Granite Oaks Dr
Prescott, AZ 86305-4732
Phone (928) 308-3129
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 |
|---|---|---|---|
| LPC-17265 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528761600000",
"number": "1013400183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 W GRANITE OAKS DR",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863054732",
"telephone_number": "928-308-3129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 W GRANITE OAKS DR",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863054732",
"telephone_number": "928-308-3129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRETTON",
"first_name": "COLLEEN",
"middle_name": "M",
"credential": "LPC, SEP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-12",
"last_updated": "2018-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-17265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.