Individual provider Active NPI

Michael Andrew Salaz, LPC

  • Professional Counselor
  • Thornton, CO
National Provider Identifier
1194495408
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0017569 Issued in CO
Practice address
9450 Huron St Unit B
Thornton, CO 80260-7932
Phone
(303) 429-3400
Fax
(303) 429-3332
NPI assigned
Sep 17, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0017569 CO Primary

Addresses

Primary practice location

9450 Huron St Unit B
Thornton, CO 80260-7932

Mailing address

14990 Echo Dr
Golden, CO 80401-1308
Phone (720) 323-8082

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
LPC.0017569COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dove Counseling CurrentSince Sep 23, 2021 Accepting new patients
Mastermind Behavioral Health, LLC CurrentSince Dec 18, 2022 Accepting new patients

Locations

2801 Youngfield St
Ste 202
Golden, CO 80401
Phone (303) 520-9311

9450 Huron St
Unit B
Thornton, CO 80260
Phone (303) 429-3400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1194495408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14990 ECHO DR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804011308",
            "telephone_number": "720-323-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 HURON ST UNIT B",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802607932",
            "telephone_number": "303-429-3400",
            "fax_number": "303-429-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZ",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0017569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.