Active NPI
Susan Hyatt
- Mental Health Counselor
- Englewood, CO
National Provider Identifier
1033674148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 13608
- Practice address
- 750 W Hampden Ave Ste 415
Englewood, CO 80110-2151 - Phone
- (720) 377-1359
- NPI assigned
- Feb 2, 2019
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 13608 | CO | Primary |
Addresses
Primary practice location
750 W Hampden Ave Ste 415
Englewood, CO 80110-2151
Mailing address
7796 S Poplar Way
Centennial, CO 80112-2541
Phone (303) 718-3030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13608 | Other | CO | LPC LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549065600000",
"number": "1033674148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7796 S POPLAR WAY",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801122541",
"telephone_number": "303-718-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 W HAMPDEN AVE STE 415",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801102151",
"telephone_number": "720-377-1359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYATT",
"first_name": "SUSAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-02",
"last_updated": "2019-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "13608",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC LICENSE",
"identifier": "13608",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.