Individual provider Active NPI

Anthony Petrelli, L.P.C

  • Mental Health Counselor
  • Highlands Ranch, CO
National Provider Identifier
1477096311
Registry record updated Nov 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0012121 Issued in CO
Practice address
9331 S Colorado Blvd
Suite 60
Highlands Ranch, CO 80126-7467
Phone
(303) 569-4588
Fax
(303) 569-4585
NPI assigned
Nov 27, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2016

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 LPC.0012121 CO Primary

Addresses

Primary practice location

9331 S Colorado Blvd
Suite 60
Highlands Ranch, CO 80126-7467

Mailing address

9331 S Colorado Blvd
Suite 60
Highlands Ranch, CO 80126-7467
Phone (303) 569-4588

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
LPC.0012121COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Equinox Counseling LLC Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1480204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480204800000",
    "number": "1477096311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9331 S COLORADO BLVD",
            "address_2": "SUITE 60",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801267467",
            "telephone_number": "303-569-4588",
            "fax_number": "303-569-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9331 S COLORADO BLVD",
            "address_2": "SUITE 60",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801267467",
            "telephone_number": "303-569-4588",
            "fax_number": "303-569-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRELLI",
        "first_name": "ANTHONY",
        "credential": "L.P.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-27",
        "last_updated": "2016-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0012121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2016; 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.