2717Philippi Center, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

2717PHILIPPI CENTER, INC.

Practice address

13710 E Rice PL
Aurora, CO 80015-1074

Phone

(303) 766-4111

Fax

(303) 766-4222

NPI assigned

Aug 27, 2015

Organization subpart

No

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

Authorized official

Name

Michael Dawson, LPC

Title

Executive Director

Phone

(303) 766-4111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1104293075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13710 E. RICE PL.",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800151058",
            "telephone_number": "303-766-4111",
            "fax_number": "303-766-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13710 E RICE PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800151074",
            "telephone_number": "303-766-4111",
            "fax_number": "303-766-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2717PHILIPPI CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "303-766-4111",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.