Active NPI
Key to Life Counseling Center
- Community/Behavioral Health Agency
- Aurora, CO
National Provider Identifier
1205002433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- ADAD #162901
- Legal business name
- KEY TO LIFE COUNSELING CENTER
- Practice address
- 14231 E 4TH Ave
BLD 0NE Suite 370
Aurora, CO 80011-8734 - Phone
- (303) 856-3485
- Fax
- (303) 856-3175
- NPI assigned
- May 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Keith Demel Pontiflet, BA, CAC III
- Title
- Excutive Director
- Phone
- (303) 865-3485
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | ADAD #162901 | CO | Primary |
Addresses
Primary practice location
14231 E 4TH Ave
BLD 0NE Suite 370
Aurora, CO 80011-8734
Mailing address
14231 East 4TH Ave
BLD 0NE Suite 370
Aurora, CO 80011-9048
Phone (303) 856-3485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ADAD LICENSE #162901 | Other | CO | ADAD LICENSE #162901; CAC III LICENSE #6578 |
National Provider Directory
National Provider DirectoryLocations
14231 E 4th Ave
Ste 370
Aurora, CO 80011
Phone (303) 856-3485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406160000000",
"number": "1205002433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14231 EAST 4TH AVE",
"address_2": "BLD 0NE SUITE 370",
"city": "AURORA",
"state": "CO",
"postal_code": "800119048",
"telephone_number": "303-856-3485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14231 E 4TH AVE",
"address_2": "BLD 0NE SUITE 370",
"city": "AURORA",
"state": "CO",
"postal_code": "800118734",
"telephone_number": "303-856-3485",
"fax_number": "303-856-3175"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEY TO LIFE COUNSELING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-07",
"last_updated": "2014-07-24",
"status": "A",
"authorized_official_last_name": "PONTIFLET",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "DEMEL",
"authorized_official_title_or_position": "EXCUTIVE DIRECTOR",
"authorized_official_telephone_number": "303-865-3485",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BA, CAC III"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CO",
"license": "ADAD #162901",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADAD LICENSE #162901; CAC III LICENSE #6578",
"identifier": "ADAD LICENSE #162901",
"state": "CO"
}
],
"endpoints": [],
"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 Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.