Individual provider Active NPI

Anhtuan Pham, MD, MPH, MHA, CAC II

  • Addiction (Substance Use Disorder) Counselor
  • Lakewood, CO
National Provider Identifier
1144654831
Registry record updated Jan 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
6852 Issued in CO
Practice address
1700 Wadsworth Blvd
Lakewood, CO 80214-5256
Phone
(303) 238-1488
NPI assigned
Aug 29, 2013
Last updated
Jan 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6852 CO Primary

Addresses

Primary practice location

1700 Wadsworth Blvd
Lakewood, CO 80214-5256

Mailing address

PO Box 27705
Denver, CO 80227-0705
Phone (720) 308-0195

Other practice location 1

1317 Spruce St
Boulder, CO 80302-4830
Phone (303) 245-0123

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6852COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Options Medical Group Addiction (Substance Use Disorder) Current Accepting new patients
Forward Medical & Behavioral Health Group Addiction (Substance Use Disorder) Current Accepting new patients
Options Treatment of Denver Current Accepting new patients

Locations

1700 Wadsworth Blvd
Lakewood, CO 80214
Phone (303) 238-1488

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579305600000",
    "number": "1144654831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27705",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802270705",
            "telephone_number": "720-308-0195",
            "fax_number": "303-245-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WADSWORTH BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145256",
            "telephone_number": "303-238-1488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1317 Spruce St",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803024830",
            "country_code": "US",
            "telephone_number": "303-245-0123",
            "fax_number": "303-245-0119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "ANHTUAN",
        "credential": "MD, MPH, MHA, CAC II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-29",
        "last_updated": "2020-01-18",
        "certification_date": "2020-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "6852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2020; 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.