Lawrence T Thillman, MA, MDIV

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

NLC.0108744 Issued in CO

Practice address

400 E Simpson St Ste G9
Lafayette, CO 80026-2350

Phone

(720) 282-9948

NPI assigned

Apr 22, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1558925883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E SIMPSON ST STE G9",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262350",
            "telephone_number": "720-282-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E SIMPSON ST STE G9",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262350",
            "telephone_number": "720-282-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THILLMAN",
        "first_name": "LAWRENCE",
        "middle_name": "T",
        "credential": "MA, MDIV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "NLC.0108744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARTICLES OF ORGANIZATION",
            "identifier": "20181376060",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Lafayette, CO
• Providers in Lafayette, 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 Apr 22, 2019; 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.