Individual provider Active NPI

Nicole Elizabeth Politis, ED.D., LPC

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1184836579
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4651 Issued in CO
Practice address
1777 S Harrison St Ste 800
Denver, CO 80210-3933
Phone
(303) 906-4909
NPI assigned
May 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5404 CO
Clinical Psychologist 103TC0700X 4651 CO Primary

Addresses

Primary practice location

1777 S Harrison St Ste 800
Denver, CO 80210-3933

Mailing address

14391 W 91St LN
Arvada, CO 80005-1416
Phone (303) 906-4909

Other practice location 1

529 Coffman St
Suite 300
Longmont, CO 80501-5450
Phone (303) 906-4909

Other practice location 2

5277 Manhattan Cir Ste 114
Boulder, CO 80303-8200
Phone (303) 906-4909

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

LicenseStateTypeSpecialty
4651COMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1184836579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14391 W 91ST LN",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800051416",
            "telephone_number": "303-906-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 S HARRISON ST STE 800",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103933",
            "telephone_number": "303-906-4909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "529 Coffman St",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805015450",
            "country_code": "US",
            "telephone_number": "303-906-4909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5277 Manhattan Cir Ste 114",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803038200",
            "country_code": "US",
            "telephone_number": "303-906-4909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLITIS",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "ED.D., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-06",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "5404",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "4651",
            "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 Mar 7, 2019; 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.