Active NPI
Todd William Harrison, LPC
- Professional Counselor
- Denver, CO
National Provider Identifier
1619197670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4569
- Practice address
- 8232 E 29TH PL
Denver, CO 80238-2723 - Phone
- (720) 384-3498
- Fax
- (303) 321-1792
- NPI assigned
- May 1, 2007
- Last updated
- Jun 20, 2016
- 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 | 4569 | CO | Primary |
Addresses
Primary practice location
8232 E 29TH PL
Denver, CO 80238-2723
Mailing address
390 S Potomac Way
Suite C
Aurora, CO 80012-1375
Phone (720) 384-3498
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141171 | Medicaid | CO |
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 |
|---|---|---|---|
| 4569 | CO | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Counseling | Professional | Past | Accepting new patients |
| Trauma Resolution Colorado | Professional | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Aurora, CO
- NPI 1417307554
-
- Professional Counselor
- Aurora, CO
- NPI 1801396288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466380800000",
"number": "1619197670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 S POTOMAC WAY",
"address_2": "SUITE C",
"city": "AURORA",
"state": "CO",
"postal_code": "800121375",
"telephone_number": "720-384-3498",
"fax_number": "303-321-1792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8232 E 29TH PL",
"city": "DENVER",
"state": "CO",
"postal_code": "802382723",
"telephone_number": "720-384-3498",
"fax_number": "303-321-1792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "TODD",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2016-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "4569",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141171",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.