Individual provider Active NPI

Gabriela Amanda Whitmer, MA, LPC

  • Professional Counselor
  • Centennial, CO
National Provider Identifier
1205445194
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0015006 Issued in CO
Practice address
9195 E Mineral Ave
Centennial, CO 80112-3549
Phone
(720) 491-1781
NPI assigned
Jul 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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.0015006 CO Primary

Addresses

Primary practice location

9195 E Mineral Ave
Centennial, CO 80112-3549

Mailing address

218 Galapago St
Denver, CO 80223-1325
Phone (412) 973-0383

Other practice location 1

7400 E Crestline Cir Ste 145
Greenwood Village, CO 80111-3656
Phone (720) 706-1944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240913001486 CO Practitioner - Mental Health Counselor 1951841162 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC.0015006COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tiger & Bolt Managed Services, LLC CurrentSince Aug 19, 2024 Accepting new patients
Neuraperformance Brain Center LLC PastSince Aug 1, 2020 Accepting new patients

Locations

7400 E Crestline Cir
Ste 145
Greenwood Village, CO 80111
Phone (720) 446-5086

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": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1205445194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 GALAPAGO ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802231325",
            "telephone_number": "412-973-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9195 E MINERAL AVE",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123549",
            "telephone_number": "720-491-1781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7400 E Crestline Cir Ste 145",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801113656",
            "country_code": "US",
            "telephone_number": "720-706-1944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITMER",
        "first_name": "GABRIELA",
        "middle_name": "AMANDA",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0015006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.