Levon Hupfer-Detor, MA, LAC, MAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

216 Issued in CO

Practice address

13611 E 104TH Ave Unit 700
Commerce City, CO 80022-8436

Phone

(720) 961-8966

NPI assigned

Mar 23, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1316478134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13611 E 104TH AVE UNIT 700",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800228436",
            "telephone_number": "720-961-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13611 E 104TH AVE UNIT 700",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800228436",
            "telephone_number": "720-961-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUPFER-DETOR",
        "first_name": "LEVON",
        "name_prefix": "Mr.",
        "credential": "MA, LAC, MAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DC",
            "license": "126891",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Huffman
• David Steven Hughes, RN
• Bobbie Leah Hulbert, OTR
• Kathryn Humphrey, RN
• Tara Huntsman, D.D.S.
• Veronica Nicole Hurtado
• Mahboba Hussaini, DOULA
• Shukria Hussaini
• Lauren L Hussey, PA-C
• Mary C Hutchins, ARDMS, RVT

• Addiction (Substance Use Disorder) Counselor in Commerce City, CO
• Providers in Commerce City, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.