Active NPI
Georgeanna Chizk
- Marriage & Family Therapist
- Denver, CO
National Provider Identifier
1225692791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- F1904004
- Practice address
- 720 S Colorado Blvd Ste 1353N
Denver, CO 80246-1904 - Phone
- (720) 370-1800
- NPI assigned
- Apr 30, 2019
- Last updated
- Apr 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | F1904004 | AR | Primary |
Addresses
Primary practice location
720 S Colorado Blvd Ste 1353N
Denver, CO 80246-1904
Mailing address
671 Gamble Rd
Centerton, AR 72719-4179
Phone (214) 354-5969
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
| License | State | Type | Specialty |
|---|---|---|---|
| F1904004 | AR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1225692791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "671 GAMBLE RD",
"city": "CENTERTON",
"state": "AR",
"postal_code": "727194179",
"telephone_number": "214-354-5969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 S COLORADO BLVD STE 1353N",
"city": "DENVER",
"state": "CO",
"postal_code": "802461904",
"telephone_number": "720-370-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIZK",
"first_name": "GEORGEANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-30",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "AR",
"license": "F1904004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.