Joel Michael Gagliano, LAC
Individual provider Active NPI Professional Counselor · Denver, CO
NPI 1487318580 · NPPES record last updated Sep 10, 2024
Key facts
- NPI
- 1487318580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC.0020438 (CO)
- Practice address
- 4353 E Colfax Ave
Denver, CO 80220-1115 - Phone
- (303) 504-1220
- NPI assigned
- Oct 25, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mental Health Center of Denver
Practice addresses (Care Compare)
4455 E 12TH Ave
Denver, CO 80220-2415
Phone (303) 504-7700
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240410003151 | CO | Practitioner - Mental Health Counselor | 2961840897 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Center of Denver | Current |
Accepting new patients | |
| Mental Health Center of Denver | Current |
Accepting new patients | |
| Mental Health Center of Denver | Current | Accepting new patients |
Locations
4353 E Colfax Ave
Denver, CO 80220
Phone (303) 504-1200
4141 E Dickenson Pl
Denver, CO 80222
Phone (303) 504-6509
4455 E 12th Ave
Denver, CO 80220
Phone (303) 504-7782
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACD.0002263 | CO | |
| Professional Counselor | 101YP2500X | LPC.0020438 | CO | Yes |
Addresses
Primary practice location
4353 E Colfax Ave
Denver, CO 80220-1115
Mailing address
4455 E 12TH Ave
Denver, CO 80220-2415
Other practice location 1
4455 E 12th Ave
Denver, CO 80220-2415
Phone (303) 504-7700
Other providers in Denver, CO
- Yousuf A Gaffar
- Rachel A Gaffney
- Jennifer R Gafford
- Alexandra Gagas
- Jeremy Gage
- Nicolette Gagliano
- Nicholas Theodore Gagner
- Amy J Gagnon
- Lindsey Gagnon
- Andrew Gai
All providers in Denver, CO · Professional Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.