Individual provider Active NPI

Nicole Alexis Demisay, LCSW

  • Counselor
  • Littleton, CO
National Provider Identifier
1508383233
Registry record updated Aug 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CSW09926554 Issued in CO
Practice address
8084 S Estes CT
Littleton, CO 80128-5354
Phone
(561) 945-2723
NPI assigned
Aug 24, 2017
Last updated
Aug 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
CSW09926554COMDCounselor

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.

Verify at the official NPI Registry.