Individual provider Active NPI

Angelina R Cordova, M.A., CACIII, LMFT

  • Addiction (Substance Use Disorder) Counselor
  • Greenwood Village, CO
National Provider Identifier
1629249503
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
6435 Issued in CO
Practice address
6595 S Dayton St
Ste 1200
Greenwood Village, CO 80111-6143
Phone
(720) 488-0878
Fax
(844) 272-6033
NPI assigned
Mar 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6435 CO Primary
Marriage & Family Therapist 106H00000X 880 CO

Addresses

Primary practice location

6595 S Dayton St
Ste 1200
Greenwood Village, CO 80111-6143

Mailing address

6595 S Dayton St
Ste 1200
Greenwood Village, CO 80111-6143
Phone (303) 549-3891

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
880COMDAddiction (Substance Use Disorder) Counselor
6435COMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1629249503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6595 S DAYTON ST",
            "address_2": "STE 1200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801116143",
            "telephone_number": "303-549-3891",
            "fax_number": "844-272-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6595 S DAYTON ST",
            "address_2": "STE 1200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801116143",
            "telephone_number": "720-488-0878",
            "fax_number": "844-272-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "ANGELINA",
        "middle_name": "R",
        "credential": "M.A., CACIII, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "6435",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "880",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.