Aidan London, M.A., L.P.C.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC.0014005 Issued in CO

Practice address

109 W Olive St
Fort Collins, CO 80524-2831

Phone

(970) 980-6839

NPI assigned

Oct 29, 2015

Reactivated

May 19, 2020

Last updated

Jun 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1497127336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W OLIVE ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242831",
            "telephone_number": "970-980-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W OLIVE ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242831",
            "telephone_number": "970-980-6839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 Garfield St",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805243855",
            "country_code": "US",
            "telephone_number": "970-980-6839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "612 S. College Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CA",
            "postal_code": "805243855",
            "country_code": "US",
            "telephone_number": "970-980-6839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONDON",
        "first_name": "AIDAN",
        "credential": "M.A., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-29",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "deactivation_date": "2020-05-04",
        "reactivation_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPCC.0014408",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPC.0014005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.