Individual provider Active NPI

Ryan Beerwinkle

  • Counselor
  • Parker, CO
National Provider Identifier
1295358976
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
NLC.0110918 Issued in CO
Practice address
16965 Pine LN Ste 103
Parker, CO 80134-6517
Phone
(720) 842-5553
NPI assigned
May 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NLC.0110918 CO Primary

Addresses

Primary practice location

16965 Pine LN Ste 103
Parker, CO 80134-6517

Mailing address

16965 Pine LN Ste 103
Parker, CO 80134-6517

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

LicenseStateTypeSpecialty
NLC.0110918COMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Christian Counseling CurrentSince Oct 11, 2020 Accepting new patients

Locations

16965 Pine Ln
Ste 103
Parker, CO 80134
Phone (720) 486-0363

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": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1295358976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16965 PINE LN STE 103",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801346517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16965 PINE LN STE 103",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801346517",
            "telephone_number": "720-842-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEERWINKLE",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "NLC.0110918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.