Active NPI
Carson Widmer Miles, LPC
- Professional Counselor
- Greenwood Village, CO
National Provider Identifier
1164933214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2205
- Practice address
- 5690 DTC Blvd Ste 120W
Greenwood Village, CO 80111-3255 - Phone
- (303) 596-8586
- NPI assigned
- Oct 17, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2205 | CO | Primary |
Addresses
Primary practice location
5690 DTC Blvd Ste 120W
Greenwood Village, CO 80111-3255
Mailing address
10577 Tigers Eye
Littleton, CO 80124-9567
Phone (303) 596-8586
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2205 | CO | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508198400000",
"number": "1164933214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10577 TIGERS EYE",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801249567",
"telephone_number": "303-596-8586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5690 DTC BLVD STE 120W",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801113255",
"telephone_number": "303-596-8586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "CARSON",
"middle_name": "WIDMER",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-17",
"last_updated": "2017-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "2205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood Village, CO
- Mile High Family Counseling PLLC
- Mile High Metabolic LLC
- Mile High Sports and Rehabilitation Medicine, PC
- Mile High Surgery Center, LLC
- Mile High Surgicenter, LLC
- Rebecca Miles, RN
- Milestone Pediatric Therapy Services
- Milestone Pediatric Therapy Services
- Millennium Park Medical Associates Denver Corp
- Bryan Miller, IOMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.