Individual provider Active NPI

James Henry Mori, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Denver, CO
National Provider Identifier
1104595651
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
ACD.0002264 Issued in CO
Practice address
2929 W 10TH Ave
Denver, CO 80204-3363
Phone
(303) 504-1200
NPI assigned
Sep 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Social Worker 104100000X
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0002264 CO Primary

Addresses

Primary practice location

2929 W 10TH Ave
Denver, CO 80204-3363

Mailing address

2929 W 10TH Ave
Denver, CO 80204-3363
Phone (303) 504-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240303000018 CO Practitioner - Mental Health Counselor 1658716436 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC CurrentSince Jan 6, 2025 Accepting new patients
Family Care Center, LLC Mental Health CurrentSince Jan 6, 2025 Accepting new patients
Mental Health Center of Denver Current Accepting new patients
Mental Health Center of Denver CurrentSince Jan 21, 2024 Accepting new patients

Locations

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

4353 E Colfax Ave
Denver, CO 80220
Phone (303) 504-1200

4141 E Dickenson Pl
Denver, CO 80222
Phone (303) 504-6509

2929 W 10th Ave
Denver, CO 80204
Phone (303) 504-1200

4455 E 12th Ave
Denver, CO 80220
Phone (303) 504-7782

750 W Hampden Ave
Ste 350
Englewood, CO 80110
Phone (303) 872-1734

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.

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1104595651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 W 10TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802043363",
            "telephone_number": "303-504-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 W 10TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802043363",
            "telephone_number": "303-504-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORI",
        "first_name": "JAMES",
        "middle_name": "HENRY",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-08",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0002264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.