Active NPI
Nikolay Ermakov, M.A.
- Counselor
- Wheat Ridge, CO
National Provider Identifier
1205031259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 10555 W 44TH Ave
Bethel Russian Church
Wheat Ridge, CO 80033-2705 - Phone
- (720) 934-5475
- NPI assigned
- Jun 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
10555 W 44TH Ave
Bethel Russian Church
Wheat Ridge, CO 80033-2705
Mailing address
PO Box 1690
Arvada, CO 80001-1690
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205031259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1690",
"city": "ARVADA",
"state": "CO",
"postal_code": "800011690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10555 W 44TH AVE",
"address_2": "BETHEL RUSSIAN CHURCH",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800332705",
"telephone_number": "720-934-5475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERMAKOV",
"first_name": "NIKOLAY",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.