Active NPI
Evan Merida, LPC
- Counselor
- Denver, CO
National Provider Identifier
1386267359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 899 N Logan St Ste 309
Denver, CO 80203-3155 - Phone
- (303) 928-0163
- NPI assigned
- May 25, 2020
- 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
899 N Logan St Ste 309
Denver, CO 80203-3155
Mailing address
1978 W 67TH PL
Denver, CO 80221-2620
Phone (303) 928-0163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 11, 2024 through Feb 11, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681084800000",
"number": "1386267359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1978 W 67TH PL",
"city": "DENVER",
"state": "CO",
"postal_code": "802212620",
"telephone_number": "303-928-0163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "899 N LOGAN ST STE 309",
"city": "DENVER",
"state": "CO",
"postal_code": "802033155",
"telephone_number": "303-928-0163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERIDA",
"first_name": "EVAN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-25",
"last_updated": "2023-04-10",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY 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 Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.