Myles Nelson, LPCC, NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPCC.0020738 Issued in CO

Practice address

9085 E Mississippi Ave Apt B207
Denver, CO 80247-2072

Phone

(720) 649-5639

NPI assigned

Aug 18, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sovereign Soul Counseling LLC

  • Mental Health Counselor
  • Englewood, CO
  • NPI 1073382339
  Medicare reassignment NPD
• Wounded Healer Project

  • Counselor
  • Englewood, CO
  • NPI 1790526952
  NPD

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1366225617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9085 E MISSISSIPPI AVE APT B207",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802472072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9085 E MISSISSIPPI AVE APT B207",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802472072",
            "telephone_number": "720-649-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MYLES",
        "credential": "LPCC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPCC.0020738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Nelson
• Maegan Nelson, NNP
• Malina Amber Nelson, RN
• Melissa Nelson, MSW
• Monica Leigh Nelson
• Natasha Danyel Nelson
• Robert L Nelson Jr., CACIII
• Ruth Ann Nelson
• Sandra Nelson, MA, LAC, ADS
• Sandra J Nelson, RN

• Counselor in Denver, CO
• Providers in Denver, CO by specialty
• Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.