Courtney Deyo-Bundy, MA, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0015741 Issued in CO

Practice address

1693 Quentin St
Aurora, CO 80045-2518

Phone

(720) 848-3000

Fax

(720) 848-3015

NPI assigned

Dec 5, 2017

Last updated

Mar 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Colorado Hospital Authority

  • Addiction (Substance Use Disorder) Counselor
  • Aurora, CO
  • NPI 1982944054
  Medicare reassignment NPD
• Ridge and Valley Counseling LLC

  • Professional Counselor
  • Greenwood Village, CO
  • NPI 1740164342
  NPD Authorized official
• University of Colorado Hospital Authority

  • General Acute Care Hospital
  • Aurora, CO
  • NPI 1548977200
  NPD

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1467967000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 LIPAN ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802604912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1693 QUENTIN ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452518",
            "telephone_number": "720-848-3000",
            "fax_number": "720-848-3015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 W Berry Ave",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801201601",
            "country_code": "US",
            "telephone_number": "303-412-3884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEYO-BUNDY",
        "first_name": "COURTNEY",
        "credential": "MA, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPCC.0015598",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "103TC1900X",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0015741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Dewan, FNP-BC
• Morgan Dewey, MD
• Madison Eileen Dewhirst, PA-C
• William Braiden Dewispelaere, MD
• Julia Dexter, MD
• Daniel Deysher, MD
• Julie Dezell, RN
• Gwen Dezelske, LCSW
• Edwin F. Dezoeten, MD
• Dha Secured

• Professional Counselor in Aurora, CO
• Providers in Aurora, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.