Individual provider Active NPI

Mitchell Lee Lemieur, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Westminster, CO
National Provider Identifier
1235916552
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.1000088-NP Issued in CO
Practice address
12041 Tejon St
Westminster, CO 80234-2314
Phone
(303) 993-7356
NPI assigned
Sep 11, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.1000088-NP CO Primary

Addresses

Primary practice location

12041 Tejon St
Westminster, CO 80234-2314

Mailing address

12041 Tejon St
Westminster, CO 80234-2314
Phone (303) 993-7356

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241011000045 CO Practitioner - Nurse Practitioner 5193257491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amavi Integrative Mental Wellness LLCGroup PAC ID 4082043401, 27 clinicians

Practice addresses (Care Compare)

6897 Paiute Ave
Suite 5
Niwot, CO 80503-7169
Phone (303) 652-4196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amavi Integrative Mental Wellness LLC Psychiatric/Mental Health CurrentSince Sep 26, 2024 Accepting new patients

Locations

6897 Paiute Ave
Ste 5
Niwot, CO 80503
Phone (303) 652-4196

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": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1235916552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12041 TEJON ST",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342314",
            "telephone_number": "303-993-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12041 TEJON ST",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342314",
            "telephone_number": "303-993-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMIEUR",
        "first_name": "MITCHELL",
        "middle_name": "LEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-11",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.1000088-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.