Individual provider Active NPI

Cornelia Joan Dockins, CACIII

  • Addiction (Substance Use Disorder) Counselor
  • Denver, CO
National Provider Identifier
1396978664
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
3639 Issued in CO
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

Updated by the provider on Sep 2, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
3639COMDAddiction (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.

Verify at the official NPI Registry.