Organization Active NPI

Key to Life Counseling Center

  • Community/Behavioral Health Agency
  • Aurora, CO
National Provider Identifier
1205002433
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
ADAD #162901 Issued in CO
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

Updated by the provider on Jul 24, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ADAD LICENSE #162901OtherCOADAD LICENSE #162901; CAC III LICENSE #6578

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.