Individual provider Active NPI

David Andrew Maclean, LPC/CACIII

  • Addiction (Substance Use Disorder) Counselor
  • Lakewood, CO
National Provider Identifier
1053618595
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
6533 Issued in CO
Practice address
393 S Harlan St
Suite 250
Lakewood, CO 80226-3572
Phone
(303) 935-7004
Fax
(303) 935-3035
NPI assigned
Feb 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6533 CO Primary
Professional Counselor 101YP2500X 4335 CO

Addresses

Primary practice location

393 S Harlan St
Suite 250
Lakewood, CO 80226-3572

Mailing address

393 S Harlan St
Suite 250
Lakewood, CO 80226-3572
Phone (303) 935-7004

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
4335COMDClinical Psychologist
6533COMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1053618595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 S HARLAN ST",
            "address_2": "SUITE 250",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263572",
            "telephone_number": "303-935-7004",
            "fax_number": "303-935-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 S HARLAN ST",
            "address_2": "SUITE 250",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263572",
            "telephone_number": "303-935-7004",
            "fax_number": "303-935-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLEAN",
        "first_name": "DAVID",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "LPC/CACIII",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "6533",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "4335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.