Amy Christine Ladebue, MAC, BA, NLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2596 Moore St
Lakewood, CO 80215

Phone

(720) 289-0623

NPI assigned

Nov 14, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Sacred Tree Counseling Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1619480563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2596 MOORE ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802151330",
            "telephone_number": "720-289-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2596 MOORE ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80215",
            "telephone_number": "720-289-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADEBUE",
        "first_name": "AMY",
        "middle_name": "CHRISTINE",
        "name_prefix": "Miss",
        "credential": "MAC, BA, NLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "NLC.0108116",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SACRED TREE",
            "last_name": "COUNSELING",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Laboratory Corporation of America
• Laboratory Corporation of America
• Katherine Labore
• Candace E. Lacey, PA-C
• Margaret Lackey, MD
• Julie Helen Lafeir
• Mark R. Lafleur, LPC
• Ruth Fabiola Lagae, RPH
• Deborah Rose Lagerborg, SLP
• Maria Guadalupe Laguet Parra

• Mental Health Counselor in Lakewood, CO
• Providers in Lakewood, 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 Aug 14, 2018; 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.