Active NPI
Nicole Alexis Demisay, LCSW
- Counselor
- Littleton, CO
National Provider Identifier
1508383233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CSW09926554
- Practice address
- 8084 S Estes CT
Littleton, CO 80128-5354 - Phone
- (561) 945-2723
- NPI assigned
- Aug 24, 2017
- Last updated
- Aug 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Counselor | 101Y00000X | CSW09926554 | CO | Primary |
Addresses
Primary practice location
8084 S Estes CT
Littleton, CO 80128-5354
Mailing address
8084 S Estes CT
Littleton, CO 80128-5354
Phone (561) 945-2723
Other practice location 1
2001 Blue Heron Blvd W
Riviera Beach, FL 33404-5003
Phone (561) 841-3500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ndemisay@jalucreativehealing.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
| License | State | Type | Specialty |
|---|---|---|---|
| CSW09926554 | CO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629590400000",
"number": "1508383233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8084 S ESTES CT",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801285354",
"telephone_number": "561-945-2723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8084 S ESTES CT",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801285354",
"telephone_number": "561-945-2723"
}
],
"practiceLocations": [
{
"address_1": "2001 Blue Heron Blvd W",
"address_purpose": "LOCATION",
"city": "Riviera Beach",
"state": "FL",
"postal_code": "334045003",
"country_code": "US",
"telephone_number": "561-841-3500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMISAY",
"first_name": "NICOLE",
"middle_name": "ALEXIS",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-24",
"last_updated": "2021-08-22",
"certification_date": "2021-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "CSW09926554",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ndemisay@jalucreativehealing.com",
"affiliation": "N",
"address_1": "8084 S Estes Ct",
"city": "Littleton",
"state": "CO",
"country_code": "US",
"postal_code": "801285354",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.