Active NPI
Amanda J Union
- Counselor
- Denver, CO
National Provider Identifier
1427623180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0015933
- Practice address
- 948 N Logan St Apt 1
Denver, CO 80203-5705 - Phone
- (912) 980-7065
- NPI assigned
- May 25, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0015933 | CO | Primary |
Addresses
Primary practice location
948 N Logan St Apt 1
Denver, CO 80203-5705
Mailing address
4937 Eono Way Apt C
Ewa Beach, HI 96706-3150
Phone (719) 400-8836
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 |
|---|---|---|---|
| 0015933 | CO | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| De Novo Wellness Center LLC | Counselor | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Counselor
- Canon City, CO
- NPI 1417718230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1427623180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4937 EONO WAY APT C",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967063150",
"telephone_number": "719-400-8836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "948 N LOGAN ST APT 1",
"city": "DENVER",
"state": "CO",
"postal_code": "802035705",
"telephone_number": "912-980-7065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNION",
"first_name": "AMANDA",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-25",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "CO",
"license": "0015933",
"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 May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.