Active NPI
Tiffani Nowak
- Counselor
- Denver, CO
National Provider Identifier
1124437488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2008 W 120TH Ave Ste A3
Denver, CO 80234-2448 - Phone
- (970) 660-8013
- NPI assigned
- Aug 11, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 16258 | CO | |
| Mental Health Counselor | 101YM0800X | 16258 | CO | |
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
2008 W 120TH Ave Ste A3
Denver, CO 80234-2448
Mailing address
2008 W 120TH Ave Ste A3
Westminster, CO 80234-2448
Phone (970) 660-8013
Other practice location 1
8931 Huron St
Thornton, CO 80260-6806
Phone (303) 853-3500 ext. 3577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 12, 2024 through Aug 12, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16258 | CO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1124437488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2008 W 120TH AVE STE A3",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "802342448",
"telephone_number": "970-660-8013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2008 W 120TH AVE STE A3",
"city": "DENVER",
"state": "CO",
"postal_code": "802342448",
"telephone_number": "970-660-8013"
}
],
"practiceLocations": [
{
"address_1": "8931 Huron St",
"address_purpose": "LOCATION",
"city": "Thornton",
"state": "CO",
"postal_code": "802606806",
"country_code": "US",
"telephone_number": "303-853-3500 x3577",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOWAK",
"first_name": "TIFFANI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-11",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "16258",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "16258",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"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 Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.