Active NPI
Luba Maria Douziech
- Counselor
- Evergreen, CO
National Provider Identifier
1528633351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 12032004-3502
- Practice address
- 34507 Squaw Pass Rd
Evergreen, CO 80439-9727 - Phone
- (720) 642-6880
- NPI assigned
- May 24, 2021
- Last updated
- Oct 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 12032004-3502 | UT | Primary |
Addresses
Primary practice location
34507 Squaw Pass Rd
Evergreen, CO 80439-9727
Mailing address
34507 Squaw Pass Rd
Evergreen, CO 80439-9727
Phone (720) 642-6880
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 |
|---|---|---|---|
| 12032004-3502 | UT | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Deaf Therapy | Single Specialty | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697328000000",
"number": "1528633351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34507 SQUAW PASS RD",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804399727",
"telephone_number": "720-642-6880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34507 SQUAW PASS RD",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804399727",
"telephone_number": "720-642-6880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUZIECH",
"first_name": "LUBA",
"middle_name": "MARIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-24",
"last_updated": "2023-10-15",
"certification_date": "2023-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "UT",
"license": "12032004-3502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evergreen, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.