Active NPI
Marco Antonio Antillon, MA
- Counselor
- Denver, CO
National Provider Identifier
1306227715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 4725 High St
Denver, CO 80216-2220 - Phone
- (720) 274-2931
- Fax
- (303) 583-0152
- NPI assigned
- Jun 11, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
4725 High St
Denver, CO 80216-2220
Mailing address
4725 High St
Denver, CO 80216-2220
Phone (720) 274-2931
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)
- Enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433980800000",
"number": "1306227715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4725 HIGH ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802162220",
"telephone_number": "720-274-2931",
"fax_number": "303-583-0152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4725 HIGH ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802162220",
"telephone_number": "720-274-2931",
"fax_number": "303-583-0152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTILLON",
"first_name": "MARCO",
"middle_name": "ANTONIO",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-11",
"last_updated": "2015-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"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 Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.