Active NPI
Cornelia Joan Dockins, CACIII
- Addiction (Substance Use Disorder) Counselor
- Denver, CO
National Provider Identifier
1396978664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 3639
- Practice address
- 825 Ivanhoe St
Denver, CO 80220-4442 - Phone
- (720) 339-3050
- Fax
- (303) 484-9350
- NPI assigned
- Sep 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3639 | CO | Primary |
| Pastoral Counselor | 101YP1600X | 3639 | CO |
Addresses
Primary practice location
825 Ivanhoe St
Denver, CO 80220-4442
Mailing address
5032 Fontana CT
Denver, CO 80239-4278
Phone (303) 484-9350
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3639 | CO | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251849600000",
"number": "1396978664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5032 FONTANA CT",
"city": "DENVER",
"state": "CO",
"postal_code": "802394278",
"telephone_number": "303-484-9350",
"fax_number": "303-484-9350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 IVANHOE ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802204442",
"telephone_number": "720-339-3050",
"fax_number": "303-484-9350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOCKINS",
"first_name": "CORNELIA",
"middle_name": "JOAN",
"name_prefix": "Ms.",
"credential": "CACIII",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-02",
"last_updated": "2009-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "3639",
"primary": true
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "CO",
"license": "3639",
"primary": false
}
],
"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 Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.