Active NPI
Mauricio Gabriel Carbone, LPCC
- Professional Counselor
- Aurora, CO
National Provider Identifier
1609337203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0016542
- Practice address
- 14901 E Hampden Ave
Aurora, CO 80014-5065 - Phone
- (720) 630-1285
- NPI assigned
- Mar 27, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0016542 | CO | Primary |
Addresses
Primary practice location
14901 E Hampden Ave
Aurora, CO 80014-5065
Mailing address
8407 Arapahoe Peak St
Littleton, CO 80125-8464
Phone (720) 630-1285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC.0016542 | Other | CO | STATE OF COLORADO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | edencounllc@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0016542 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1609337203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8407 ARAPAHOE PEAK ST",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801258464",
"telephone_number": "720-630-1285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14901 E HAMPDEN AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800145065",
"telephone_number": "720-630-1285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARBONE",
"first_name": "MAURICIO",
"middle_name": "GABRIEL",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-27",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0016542",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF COLORADO",
"identifier": "LPC.0016542",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "edencounllc@gmail.com",
"affiliation": "N",
"endpointDescription": "email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "Mail",
"address_1": "7657 S Datura Cir",
"city": "Littleton",
"state": "CO",
"country_code": "US",
"postal_code": "801204118",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.