Organization Active NPI

William S Lundgren LLC

  • Professional Counselor
  • Denver, CO
National Provider Identifier
1114104163
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3169 Issued in CO
Legal business name
WILLIAM S LUNDGREN LLC
Practice address
777 Grand
Suite 304
Denver, CO 80203
Phone
(303) 329-2928
Fax
(303) 329-2917
NPI assigned
Jan 22, 2008
Last updated
Jan 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Mr. William S Lundgren, LPC CAC III CEAPNPI 1144495888
Title
Owner
Phone
(303) 329-2928

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 3169 CO Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PS006144L PA

Addresses

Primary practice location

777 Grand
Suite 304
Denver, CO 80203

Mailing address

1365 Columbine
#104
Denver, CO 80206
Phone (303) 329-2928

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1114104163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 COLUMBINE",
            "address_2": "#104",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80206",
            "telephone_number": "303-329-2928",
            "fax_number": "303-329-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 GRAND",
            "address_2": "SUITE 304",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80203",
            "telephone_number": "303-329-2928",
            "fax_number": "303-329-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM S LUNDGREN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "LUNDGREN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-329-2928",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC CAC III CEAP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "3169",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS006144L",
            "primary": false
        }
    ],
    "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 Jan 22, 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.