Individual provider Active NPI

Alissa Zucker

  • Addiction (Substance Use Disorder) Counselor
  • Westminster, CO
National Provider Identifier
1548633316
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
7390 Issued in CO
Practice address
8407 Bryant St
Westminster, CO 80031-3809
Phone
(303) 487-7776
Fax
(303) 487-7868
NPI assigned
Nov 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 7390 CO Primary

Addresses

Primary practice location

8407 Bryant St
Westminster, CO 80031-3809

Mailing address

8407 Bryant St
Westminster, CO 80031-3809
Phone (303) 487-7776

Other identifiers 1

IdentifierTypeStateIssuer
1982865580MedicaidCO

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
I20240418002471 CO Practitioner - Mental Health Counselor 1355780784 Practice locations: Denver, CO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7390COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mile High Treatment and Recovery Inc CurrentSince Apr 1, 2023 Accepting new patients
Paragon Behavioral Health Connections Past Accepting new patients

Locations

6310 E Exposition Ave
Denver, CO 80224
Phone (303) 320-1630

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1548633316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8407 BRYANT ST",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800313809",
            "telephone_number": "303-487-7776",
            "fax_number": "303-487-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8407 BRYANT ST",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800313809",
            "telephone_number": "303-487-7776",
            "fax_number": "303-487-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCKER",
        "first_name": "ALISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "7390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982865580",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.