Individual provider Active NPI

Nicholas Radach

  • Professional Counselor
  • Lakewood, CO
National Provider Identifier
1629898812
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0021341 Issued in CO
Practice address
7175 W Jefferson Ave Ste 2800
Lakewood, CO 80235-2319
Phone
(720) 627-7734
Fax
(303) 265-9247
NPI assigned
Oct 14, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0021341 CO Primary

Addresses

Primary practice location

7175 W Jefferson Ave Ste 2800
Lakewood, CO 80235-2319

Mailing address

8461 Turnpike Dr Ste 203
Westminster, CO 80031-4379
Phone (720) 627-7734

Other practice location 1

8461 Turnpike Dr Ste 203
Westminster, CO 80031-4379
Phone (720) 627-7734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251021000988 CO Practitioner - Mental Health Counselor 2961990163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

13402 W Coal Mine Ave
Suite 110
Littleton, CO 80127-5408
Phone (303) 248-7894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0021341COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mo Smiles LLC Professional CurrentSince Oct 20, 2024 Accepting new patients
Family Care Center, LLC Professional CurrentSince Nov 3, 2025 Accepting new patients
Family Care Center, LLC CurrentSince Nov 3, 2025 Accepting new patients

Locations

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

7175 W Jefferson Ave
Ste 2800
Lakewood, CO 80235
Phone (720) 627-7734

13402 W Coal Mine Ave
Ste 110
Littleton, CO 80127
Phone (303) 248-7894

8461 Turnpike Dr
Ste 203
Westminster, CO 80031
Phone (303) 214-2106

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1629898812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8461 TURNPIKE DR STE 203",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800314379",
            "telephone_number": "720-627-7734",
            "fax_number": "303-265-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7175 W JEFFERSON AVE STE 2800",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352319",
            "telephone_number": "720-627-7734",
            "fax_number": "303-265-9247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8461 Turnpike Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800314379",
            "country_code": "US",
            "telephone_number": "720-627-7734",
            "fax_number": "303-265-9247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADACH",
        "first_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0021341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.