Individual provider Active NPI

Edward Ray Chase, LPC

  • Counselor
  • Greenwood Village, CO
National Provider Identifier
1104973379
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1965 Issued in CO
Practice address
8933 E Union Ave Ste 2950
Greenwood Village, CO 80111-1354
Phone
(303) 263-3305
Fax
(303) 220-7899
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1965 CO Primary

Addresses

Primary practice location

8933 E Union Ave Ste 2950
Greenwood Village, CO 80111-1354

Mailing address

8933 E Union Ave Ste 2950
Greenwood Village, CO 80111-1354
Phone (303) 263-3305

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
1965COMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1104973379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8933 E UNION AVE STE 2950",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111354",
            "telephone_number": "303-263-3305",
            "fax_number": "303-220-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8933 E UNION AVE STE 2950",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111354",
            "telephone_number": "303-263-3305",
            "fax_number": "303-220-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "EDWARD",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "1965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.