James Alvarado

Key facts

NPI

1194295014

Entity type

Individual (NPI type 1)

Primary specialty

Counselor 101Y00000X

License

LPCC.0016228 (CO)

Practice address

10 Boulder Crescent St Ste 102
Colorado Springs, CO 80903-3350

Phone

(702) 576-6053

NPI assigned

Dec 4, 2018

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 4, 2018.

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1194295014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8129 SUMMERSET DR APT H",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809206113",
            "telephone_number": "702-576-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BOULDER CRESCENT ST STE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033350",
            "telephone_number": "702-576-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPCC.0016228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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