Individual provider Active NPI

Camilla B Granger, BA, CAC III, NCAC II

  • Addiction (Substance Use Disorder) Counselor
  • Wheat Ridge, CO
National Provider Identifier
1164968657
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
2085 Issued in CO
Practice address
4485 Wadsworth. Blvd
206
Wheat Ridge, CO 80033-3310
Phone
(303) 431-5664
Fax
(303) 431-6713
NPI assigned
Jan 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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 2085 CO Primary

Addresses

Primary practice location

4485 Wadsworth. Blvd
206
Wheat Ridge, CO 80033-3310

Mailing address

2435 Kline St
Lakewood, CO 80215-1425
Phone (303) 669-8427

Other identifiers 1

IdentifierTypeStateIssuer
03685039MedicaidCO

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
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
2085COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Choices in Living Counseling Center, Inc Counselor CurrentSince Sep 23, 2024 Accepting new patients

Locations

4485 Wadsworth Blvd
Ste 206
Wheat Ridge, CO 80033
Phone (303) 431-5664

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": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1164968657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 KLINE ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802151425",
            "telephone_number": "303-669-8427",
            "fax_number": "303-997-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 WADSWORTH. BLVD",
            "address_2": "206",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800333310",
            "telephone_number": "303-431-5664",
            "fax_number": "303-431-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANGER",
        "first_name": "CAMILLA",
        "middle_name": "B",
        "credential": "BA, CAC III, NCAC II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "2085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03685039",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.