Individual provider Active NPI

Andrea Charlotte Perleberg, LPCC

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1467129395
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC.0017825 Issued in CO
Practice address
3201 S Tamarac Dr
Denver, CO 80231-4360
Phone
(303) 597-5000
NPI assigned
Aug 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCC.0017825 CO Primary

Addresses

Primary practice location

3201 S Tamarac Dr
Denver, CO 80231-4360

Mailing address

3201 S Tamarac Dr
Denver, CO 80231-4360
Phone (303) 597-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://login.qualifacts.org Health Information Exchange (HIE)

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
LPCC.0017825COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1467129395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 S TAMARAC DR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314360",
            "telephone_number": "303-597-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S TAMARAC DR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314360",
            "telephone_number": "303-597-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLEBERG",
        "first_name": "ANDREA",
        "middle_name": "CHARLOTTE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0017825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://login.qualifacts.org",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "electronic record",
            "address_1": "3201 S Tamarac Dr",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802314360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 27, 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.

Verify at the official NPI Registry.