Active NPI
Anissa Marie Cordova, PHD
- Counselor
- Denver, CO
National Provider Identifier
1093264327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- NLC.0105614
- Practice address
- 3773 E Cherry Creek North Dr
Suite 575
Denver, CO 80209-3804 - Phone
- (720) 504-5820
- NPI assigned
- Sep 28, 2016
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NLC.0105614 | CO | Primary |
Addresses
Primary practice location
3773 E Cherry Creek North Dr
Suite 575
Denver, CO 80209-3804
Mailing address
1248 Albion St
Denver, CO 80220-2311
Phone (303) 956-6194
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NLC.0105614 | CO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475020800000",
"number": "1093264327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1248 ALBION ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802202311",
"telephone_number": "303-956-6194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3773 E CHERRY CREEK NORTH DR",
"address_2": "SUITE 575",
"city": "DENVER",
"state": "CO",
"postal_code": "802093804",
"telephone_number": "720-504-5820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDOVA",
"first_name": "ANISSA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-28",
"last_updated": "2016-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "NLC.0105614",
"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 Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.