Dan Leslie Kendrick

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

NLC.0008201 Issued in CO

Practice address

709 3Rd Ave
Longmont, CO 80501-5926

Phone

(303) 485-9086

NPI assigned

Jul 10, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1518453752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 GOOSEBERRY DR UNIT 1506",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036446",
            "telephone_number": "303-485-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 3RD AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015926",
            "telephone_number": "303-485-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "DAN",
        "middle_name": "LESLIE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "NLC.0008201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leeann Renee Keller, NP
• Margaret Ellen Keller, MA, LPC, LAC
• Michael J Kellogg, DDS
• Colleen Kelly, M.S.W.
• Duane Andrew Kelson, DDS
• Elizabeth Kate Kendrick
• Carey Kercher
• Erik Kerns, OTR/L
• Samuel Keronen
• Kevin C Cottrell OD, P C (Focusvison)

• Mental Health Counselor in Longmont, CO
• Providers in Longmont, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.