Active NPI
Dave Gifford, LPC
- Professional Counselor
- Brighton, CO
National Provider Identifier
1104273564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0012325
- Practice address
- 6318 E 121St PL
Brighton, CO 80602-9699 - Phone
- (303) 489-6217
- NPI assigned
- May 16, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0012325 | CO | Primary |
Addresses
Primary practice location
6318 E 121St PL
Brighton, CO 80602-9699
Mailing address
6318 E 121St PL
Brighton, CO 80602-9699
Phone (303) 489-6217
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0012325 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidstuff Child and Family Counseling, P.C. | Professional | Past | Accepting new patients |
| Kidstuff Child & Family Counseling, P.C. | Past | Accepting new patients | |
| Kidstuff Child and Family Counseling, P.C. | Professional | Past | Accepting new patients |
| Kidstuff Child and Family Counseling, P.C. | Professional | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463356800000",
"number": "1104273564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6318 E 121ST PL",
"city": "BRIGHTON",
"state": "CO",
"postal_code": "806029699",
"telephone_number": "303-489-6217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6318 E 121ST PL",
"city": "BRIGHTON",
"state": "CO",
"postal_code": "806029699",
"telephone_number": "303-489-6217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIFFORD",
"first_name": "DAVE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-16",
"last_updated": "2016-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0012325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.