NPIMap

Individual provider Active NPI

Michael Eugene Driscoll, MA, LPC

  • Professional Counselor
  • Parker, CO
National Provider Identifier
1447554480
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0011660 Issued in CO
Practice address
9403 Crown Crest Blvd Ste 300
Parker, CO 80138-9048
Phone
(303) 770-0500
Fax
(303) 220-5053
NPI assigned
Jan 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X LPC.0011660 CO Primary

Addresses

Primary practice location

9403 Crown Crest Blvd Ste 300
Parker, CO 80138-9048

Mailing address

PO Box 801106
Kansas City, MO 64180-1106
Phone (800) 953-0104

Other practice location 1

2206 Victor St
Aurora, CO 80045-7400
Phone (303) 617-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231210000036 CO Practitioner - Mental Health Counselor 0244689776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portercare Adventist Health SystemGroup PAC ID 0941110886, 770 clinicians

Practice addresses (Care Compare)

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

9403 Crown Crest Blvd
Suite 300
Parker, CO 80138-9048
Phone (303) 770-0500

9403 Crown Crest Blvd 300 ENT
Etpk ENT PKR
Parker, CO 80138-9048
Phone (720) 274-2544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC.0011660COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Jan 1, 2024 Accepting new patients
Portercare Adventist Health System CurrentSince Jan 1, 2024 Accepting new patients
Adventhealth Primary Care RMR PastSince Aug 1, 2026 Accepting new patients

Locations

6069 S Southlands Pkwy
Ste C
Aurora, CO 80016

6069 S Southlands Pkwy
Aurora, CO 80016
Phone (303) 840-8780

240 S Elizabeth St
Ste B
Elizabeth, CO 80107
Phone (303) 269-2551

19641 E Parker Square Dr
Ste A
Parker, CO 80134
Phone (303) 406-0080

9403 Crown Crest Blvd
Ste 300TVW
Parker, CO 80138
Phone (303) 269-4410

9403 Crown Crest Blvd
Ste 300
Parker, CO 80138
Phone (303) 269-4410

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1447554480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801106",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641801106",
            "telephone_number": "800-953-0104",
            "fax_number": "303-765-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9403 CROWN CREST BLVD STE 300",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801389048",
            "telephone_number": "303-770-0500",
            "fax_number": "303-220-5053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2206 Victor St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800457400",
            "country_code": "US",
            "telephone_number": "303-617-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRISCOLL",
        "first_name": "MICHAEL",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-05",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0011660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.