Individual provider Active NPI

Beverly Nannette McGill, D.MIN.

  • Addiction (Substance Use Disorder) Counselor
  • Denver, CO
National Provider Identifier
1407052004
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
68 Issued in CO
Practice address
2843 Welton St
Denver, CO 80205-3019
Phone
(303) 294-0972
Fax
(303) 294-9005
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 68 CO Primary

Addresses

Primary practice location

2843 Welton St
Denver, CO 80205-3019

Mailing address

2843 Welton St
Denver, CO 80205-3019
Phone (303) 294-0972

Other identifiers 3

IdentifierTypeStateIssuer
56104251MedicaidCO
1470-00OtherCOALCOHOL TREATMENT FACILIT
68OtherCOLISCENSED ADDICTION COUNS

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
68COMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407052004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2843 WELTON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053019",
            "telephone_number": "303-294-0972",
            "fax_number": "303-294-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2843 WELTON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053019",
            "telephone_number": "303-294-0972",
            "fax_number": "303-294-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILL",
        "first_name": "BEVERLY",
        "middle_name": "NANNETTE",
        "name_prefix": "Dr.",
        "credential": "D.MIN.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "68",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56104251",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALCOHOL TREATMENT FACILIT",
            "identifier": "1470-00",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENSED ADDICTION COUNS",
            "identifier": "68",
            "state": "CO"
        }
    ],
    "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 Jul 8, 2007; 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.