Individual provider Active NPI

Mandesah Imani Drammeh, MA CAC III

  • Addiction (Substance Use Disorder) Counselor
  • Denver, CO
National Provider Identifier
1174848998
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
611 Issued in CO
Practice address
25 E 16TH Ave
Denver, CO 80202-5195
Phone
(303) 297-4027
Fax
(303) 764-6270
NPI assigned
Apr 5, 2010
Last updated
Apr 5, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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 611 CO Primary

Addresses

Primary practice location

25 E 16TH Ave
Denver, CO 80202-5195

Mailing address

2111 Champa St.Reet
Denver, CO 80205

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
611COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Coalition for the Homeless PastSince Oct 17, 2021 Accepting new patients
Colorado Coalition for the Homeless PastSince Nov 16, 2021 Accepting new patients

Organizations & group practices 2

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": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1174848998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 CHAMPA ST.REET",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E 16TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802025195",
            "telephone_number": "303-297-4027",
            "fax_number": "303-764-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAMMEH",
        "first_name": "MANDESAH",
        "middle_name": "IMANI",
        "name_prefix": "Ms.",
        "credential": "MA CAC III",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "611",
            "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 Apr 5, 2010; 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.