Organization Active NPI

Nu Dawn Counseling Center LLC

  • Psychologist
  • Wheat Ridge, CO
National Provider Identifier
1649760190
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY0003393 Issued in CO
Legal business name
NU DAWN COUNSELING CENTER LLC
Practice address
4045 Wadsworth Blvd Ste 308
Wheat Ridge, CO 80033-4626
Phone
(303) 500-3253
NPI assigned
May 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Authorized official

Name
Summer Whittaker
Title
Credentialing Specialist
Phone
(617) 453-9505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY0003393 CO Primary

Addresses

Primary practice location

4045 Wadsworth Blvd Ste 308
Wheat Ridge, CO 80033-4626

Mailing address

4045 Wadsworth Blvd Ste 308
Wheat Ridge, CO 80033-4626
Phone (303) 500-3253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180627000116 CO Part B Supplier - Clinic/Group Practice 1456606847 Receives reassigned benefits from 1 practitioner
Practice locations: Wheat Ridge, CO

National Provider Directory

National Provider Directory
Tax ID family
Nu Dawn Counseling Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6795 E Tennessee Ave
Ste I404
Denver, CO 80224
Phone (303) 500-3253

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1649760190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 WADSWORTH BLVD STE 308",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334626",
            "telephone_number": "303-500-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 WADSWORTH BLVD STE 308",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334626",
            "telephone_number": "303-500-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NU DAWN COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "WHITTAKER",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "617-453-9505"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY0003393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.