Active NPI
Wyatt George
- Professional Counselor
- Littleton, CO
National Provider Identifier
1669015871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0015788
- Practice address
- 5554 S Prince St
Littleton, CO 80120-1149 - Phone
- (303) 730-8858
- NPI assigned
- Oct 21, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0015788 | CO | Primary |
Addresses
Primary practice location
5554 S Prince St
Littleton, CO 80120-1149
Mailing address
155 Inverness Dr W
Englewood, CO 80112-5000
Phone (303) 730-8858
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240626000675 | CO | Practitioner - Mental Health Counselor | 7810431350 | Practice locations: Englewood, CO |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571616000000",
"number": "1669015871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 INVERNESS DR W",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801125000",
"telephone_number": "303-730-8858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5554 S PRINCE ST",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801201149",
"telephone_number": "303-730-8858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "WYATT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-21",
"last_updated": "2019-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0015788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.