NPIMap

Organization Active NPI

Family Life Counseling, P.C.

  • Professional Counselor
  • Aurora, CO
National Provider Identifier
1053508986
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2235 Issued in CO
Legal business name
FAMILY LIFE COUNSELING, P.C.
Practice address
6240 S Main St
Suite #265
Aurora, CO 80016-5376
Phone
(720) 274-5270
Fax
(720) 274-5267
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Mr. Kevin J. Dyk, L.P.C.NPI 1427080225
Title
President
Phone
(720) 274-5270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 2235 CO Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 992746 CO
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 992789 CO

Addresses

Primary practice location

6240 S Main St
Suite #265
Aurora, CO 80016-5376

Mailing address

6240 S Main St
Suite #265
Aurora, CO 80016-5376
Phone (720) 274-5270

National Provider Directory

National Provider Directory

Locations

6240 S Main St
Ste 265
Aurora, CO 80016
Phone (720) 274-5270

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1053508986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 S MAIN ST",
            "address_2": "SUITE #265",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165376",
            "telephone_number": "720-274-5270",
            "fax_number": "720-274-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 S MAIN ST",
            "address_2": "SUITE #265",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165376",
            "telephone_number": "720-274-5270",
            "fax_number": "720-274-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY LIFE COUNSELING, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "DYK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-274-5270",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "2235",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "992746",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "992789",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Aug 18, 2008; 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.