Individual provider Active NPI

Orrin K Johnson, MA, LPCC

  • Mental Health Counselor
  • Niwot, CO
National Provider Identifier
1528641669
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC.0018167 Issued in CO
Practice address
6720 Paiute Ave
Niwot, CO 80503-8660
Phone
(207) 664-3264
NPI assigned
May 5, 2021
Last updated
May 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCC.0018167 CO Primary

Addresses

Primary practice location

6720 Paiute Ave
Niwot, CO 80503-8660

Mailing address

6720 Paiute Ave
Niwot, CO 80503-8660
Phone (207) 664-3264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240830000018 CO Practitioner - Mental Health Counselor 0042759300 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPCC.0018167COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Connections CurrentSince Jun 7, 2024 Accepting new patients
Healing Connections LLC PastSince Jun 18, 2023 Accepting new patients

Locations

1650 38th St
Ste 100E
Boulder, CO 80301
Phone (303) 330-3589

954 North St
Unit 305
Boulder, CO 80304
Phone (720) 378-1224

80 Garden Ctr
Ste 58
Broomfield, CO 80020
Phone (720) 507-3649

1800 W Littleton Blvd
Littleton, CO 80120
Phone (570) 899-5038

Organizations & group practices 2

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": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1528641669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 PAIUTE AVE",
            "city": "NIWOT",
            "state": "CO",
            "postal_code": "805038660",
            "telephone_number": "207-664-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 PAIUTE AVE",
            "city": "NIWOT",
            "state": "CO",
            "postal_code": "805038660",
            "telephone_number": "207-664-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ORRIN",
        "middle_name": "K",
        "credential": "MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0018167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niwot, CO

Sources for this page

Verify at the official NPI Registry.