Active NPI
Chris T Condon, LPC,CAC11
- Professional Counselor
- Lakewood, CO
National Provider Identifier
1558692129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5245
- Practice address
- 1805 S Balsam St
Lakewood, CO 80232-6700 - Phone
- (888) 948-6789
- Fax
- (877) 345-3501
- NPI assigned
- Jan 21, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6532 | CO | |
| Professional Counselor | 101YP2500X | 5245 | CO | Primary |
Addresses
Primary practice location
1805 S Balsam St
Lakewood, CO 80232-6700
Mailing address
1 Kalisa Way Ste 101
Paramus, NJ 07652-3508
Phone (303) 514-7142
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6532 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| 5245 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1558692129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 KALISA WAY STE 101",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076523508",
"telephone_number": "303-514-7142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 S BALSAM ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802326700",
"telephone_number": "888-948-6789",
"fax_number": "877-345-3501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDON",
"first_name": "CHRIS",
"middle_name": "T",
"credential": "LPC,CAC11",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-21",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "6532",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "5245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.