Individual provider Active NPI

Anders Montgomery Harrison, UP

  • Mental Health Counselor
  • Westminster, CO
National Provider Identifier
1134899354
Registry record updated Sep 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
NLC.0110608 Issued in CO
Practice address
8461 Turnpike Dr Ste 207
Westminster, CO 80031-4379
Phone
(303) 578-8320
Fax
(303) 590-9627
NPI assigned
Sep 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NLC.0110608 CO Primary

Addresses

Primary practice location

8461 Turnpike Dr Ste 207
Westminster, CO 80031-4379

Mailing address

8461 Turnpike Dr Ste 207
Westminster, CO 80031-4379
Phone (303) 578-8320

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://secure.simplepractice.com/calendar/appointments Direct

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
NLC.0110608COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Quest Counseling Services LLC CurrentSince Sep 28, 2021 Accepting new patients

Locations

8461 Turnpike Dr
Ste 207
Westminster, CO 80031
Phone (303) 578-0891

Organizations & group practices 1

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": "1631923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631923200000",
    "number": "1134899354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8461 TURNPIKE DR STE 207",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800314379",
            "telephone_number": "303-578-8320",
            "fax_number": "303-590-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8461 TURNPIKE DR STE 207",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800314379",
            "telephone_number": "303-578-8320",
            "fax_number": "303-590-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "ANDERS",
        "middle_name": "MONTGOMERY",
        "credential": "UP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-18",
        "last_updated": "2021-09-18",
        "certification_date": "2021-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "NLC.0110608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.simplepractice.com/calendar/appointments",
            "affiliation": "N",
            "endpointDescription": "HIPPA Compliant EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "scheduling appointments, care plans, secure messagging",
            "address_1": "8461 Turnpike Dr Ste 207",
            "city": "Westminster",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800314379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2021; 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.