Individual provider Active NPI

Audra Marie Lewis, MFT

  • Marriage & Family Therapist
  • Denver, CO
National Provider Identifier
1467995266
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0001821 Issued in CO
Practice address
1658 York St
Denver, CO 80206-1410
Phone
(303) 935-5307
NPI assigned
Nov 28, 2016
Reactivated
Sep 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0001821 CO Primary

Addresses

Primary practice location

1658 York St
Denver, CO 80206-1410

Mailing address

8781 Creekside Way Apt 1036
Highlands Ranch, CO 80129-1583
Phone (209) 201-2840

Other practice location 1

951 Blanco Cir
Ste B
Salinas, CA 93901-4451
Phone (831) 796-1705

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Therapynotes.com

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
0001821COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Insights CurrentSince Dec 12, 2021 Accepting new patients
Insights CurrentSince Oct 4, 2020 Accepting new patients

Locations

1658 York St
Denver, CO 80206
Phone (303) 935-5307

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1467995266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8781 CREEKSIDE WAY APT 1036",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801291583",
            "telephone_number": "209-201-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 YORK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061410",
            "telephone_number": "303-935-5307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "951 Blanco Cir",
            "address_2": "Ste B",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939014451",
            "country_code": "US",
            "telephone_number": "831-796-1705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "AUDRA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-17",
        "deactivation_date": "2020-09-09",
        "reactivation_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "0001821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Therapynotes.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "address_1": "1658 York St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802061410",
            "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 Sep 24, 2020; 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.