Active NPI
Benjamin Wayburn, LPC
- Professional Counselor
- Aurora, CO
National Provider Identifier
1235512617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- .0016818
- Practice address
- 2101 S Blackhawk St Ste 240
Aurora, CO 80014-1475 - Phone
- (720) 470-8782
- NPI assigned
- Jul 3, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC-0011997 | DE | |
| Professional Counselor | 101YP2500X | LPC-22822 | AZ | |
| Professional Counselor | 101YP2500X | .0016818 | CO | Primary |
| Mental Health Counselor | 101YM0800X | LH61483937 | WA |
Addresses
Primary practice location
2101 S Blackhawk St Ste 240
Aurora, CO 80014-1475
Mailing address
16264 Stonebriar Dr
Parker, CO 80134-3531
Phone (720) 470-8782
Other practice location 1
265 S Harlan St
Lakewood, CO 80226-2261
Phone (720) 272-1289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
16264 Stonebriar Dr
Parker, CO 80134-3531
535 Mack Ave
Kingsley, MI 49649-9220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH61483937 | WA | MD | Mental Health Counselor |
| LPC-22822 | AZ | MD | Professional Counselor |
| .0016818 | CO | MD | Professional Counselor |
| PC-0011997 | DE | MD | Professional Counselor |
Organizations & group practices 1
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": "1435881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1235512617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16264 STONEBRIAR DR",
"city": "PARKER",
"state": "CO",
"postal_code": "801343531",
"telephone_number": "720-470-8782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 S BLACKHAWK ST STE 240",
"city": "AURORA",
"state": "CO",
"postal_code": "800141475",
"telephone_number": "720-470-8782"
}
],
"practiceLocations": [
{
"address_1": "265 S Harlan St",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "CO",
"postal_code": "802262261",
"country_code": "US",
"telephone_number": "720-272-1289",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAYBURN",
"first_name": "BENJAMIN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-03",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DE",
"license": "PC-0011997",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-22822",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": ".0016818",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61483937",
"primary": false
}
],
"identifiers": [],
"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 Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.