Individual provider Active NPI

Gary McCoy, LPC3362

  • Professional Counselor
  • Arvada, CO
National Provider Identifier
1629560305
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC3362 Issued in CO
Practice address
5245 Gladiola St
Arvada, CO 80002-1517
Phone
(303) 885-3703
Fax
(303) 278-2369
NPI assigned
May 30, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2018

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) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X CAC6163 CO
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LPC3362 CO Primary

Addresses

Primary practice location

5245 Gladiola St
Arvada, CO 80002-1517

Mailing address

5245 Gladiola St
Arvada, CO 80002-1517
Phone (303) 885-3703

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

LicenseStateTypeSpecialty
CAC6163COMDAddiction (Substance Use Disorder) Counselor
LPC3362COMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1629560305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 GLADIOLA ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021517",
            "telephone_number": "303-885-3703",
            "fax_number": "303-278-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5245 GLADIOLA ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021517",
            "telephone_number": "303-885-3703",
            "fax_number": "303-278-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "GARY",
        "credential": "LPC3362",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "CAC6163",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC3362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.