Individual provider Active NPI

Harley Cole Deshazer, BA, CACII

  • Addiction (Substance Use Disorder) Counselor
  • Aurora, CO
National Provider Identifier
1184213019
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
ACC.0998500 Issued in CO
Practice address
14901 E Hampden Ave Ste 100
Aurora, CO 80014-5037
Phone
(720) 542-9740
NPI assigned
Jan 14, 2021
Last updated
Jan 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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 ACC.0998500 CO Primary

Addresses

Primary practice location

14901 E Hampden Ave Ste 100
Aurora, CO 80014-5037

Mailing address

14901 E Hampden Ave Ste 100
Aurora, CO 80014-5037

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cole@perladuran.com 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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
ACC.0998500COMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1184213019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14901 E HAMPDEN AVE STE 100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800145037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 E HAMPDEN AVE STE 100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800145037",
            "telephone_number": "720-542-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHAZER",
        "first_name": "HARLEY",
        "middle_name": "COLE",
        "credential": "BA, CACII",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACC.0998500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cole@perladuran.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14901 E Hampden Ave Ste 100",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800145037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.