Individual provider Active NPI

Santiago Nicolas Suarez Quiroga, BA, CACII

  • Addiction (Substance Use Disorder) Counselor
  • Westminster, CO
National Provider Identifier
1366067027
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
ACB.0008264 Issued in CO
Practice address
8407 Bryant St
Westminster, CO 80031-3809
Phone
(303) 487-7776
Fax
(303) 487-7868
NPI assigned
Jun 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACB.0008264 CO Primary

Addresses

Primary practice location

8407 Bryant St
Westminster, CO 80031-3809

Mailing address

9061 Judson St
Westminster, CO 80031-3348
Phone (720) 999-7727

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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
ACB.0008264COMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1366067027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9061 JUDSON ST",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800313348",
            "telephone_number": "720-999-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8407 BRYANT ST",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800313809",
            "telephone_number": "303-487-7776",
            "fax_number": "303-487-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ QUIROGA",
        "first_name": "SANTIAGO",
        "middle_name": "NICOLAS",
        "name_prefix": "Mr.",
        "credential": "BA, CACII",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACB.0008264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.