Keith De'Mel Pontiflet, CAC III

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ACC0006578 Issued in CO

Practice address

14231 E 4TH Ave Ste 370
Bluding 1
Aurora, CO 80011-8720

Phone

(303) 856-3485

NPI assigned

Feb 21, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Key to Life Counseling Center

  • Community/Behavioral Health Agency
  • Aurora, CO
  • NPI 1205002433
  Authorized official Same address or phone

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1568507952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14221 E 1ST DR",
            "address_2": "#201",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800113811",
            "telephone_number": "720-327-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14231 E 4TH AVE STE 370",
            "address_2": "BLUDING 1",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118720",
            "telephone_number": "303-856-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTIFLET",
        "first_name": "KEITH",
        "middle_name": "DE'MEL",
        "name_prefix": "Mr.",
        "credential": "CAC III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACC0006578",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "ACC0006578",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Twyneka Ponder
• Ponderosa Family Physicians PC
• Ponderosa Vision Clinic PC
• Gabrielle Ponio, LPCC
• Shelby Pons, PHARMD
• Jenny Pool Radway
• Jessica Pool
• Laura Anderson Poole, MA
• Nicole Marie Poole, M.D., M.P.H
• Steven Poole, MD

• Addiction (Substance Use Disorder) Counselor in Aurora, CO
• Providers in Aurora, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.