Individual provider Active NPI

Denise Deherrera, CACIII

  • Addiction (Substance Use Disorder) Counselor
  • Denver, CO
National Provider Identifier
1063788610
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
7241 Issued in CO
Practice address
8801 E. Hampden Ave
Suite 108
Denver, CO 80231-4950
Phone
(303) 960-6249
Fax
(303) 537-6923
NPI assigned
Mar 28, 2012
Last updated
Jun 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 7241 CO Primary

Addresses

Primary practice location

8801 E. Hampden Ave
Suite 108
Denver, CO 80231-4950

Mailing address

8801 E. Hampden Ave
Suite 108
Denver, CO 80231-4950
Phone (303) 960-6249

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
7241COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mile High Behavioral Health LLC Addiction (Substance Use Disorder) Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/milehighbehavioralhealthcare/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1063788610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 E. HAMPDEN AVE",
            "address_2": "SUITE 108",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314950",
            "telephone_number": "303-960-6249",
            "fax_number": "303-537-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 E. HAMPDEN AVE",
            "address_2": "SUITE 108",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314950",
            "telephone_number": "303-960-6249",
            "fax_number": "303-537-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHERRERA",
        "first_name": "DENISE",
        "credential": "CACIII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "7241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.