James Robert Hart, BA CAC I
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Lyons, CO
NPI 1679628952 · NPPES record last updated Jun 21, 2012
Key facts
- NPI
- 1679628952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 6850 (CO)
- Practice address
- 304 Main Street, Unit C
Lyons, CO 80540 - Phone
- (720) 310-8010
- Fax
- (303) 823-9355
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13918 | CO | MD | Mental Health Counselor |
| 6850 | CO | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6850 | CO | Yes |
| Mental Health Counselor | 101YM0800X | 13918 | CO | |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
304 Main Street, Unit C
Lyons, CO 80540
Mailing address
PO Box 499
Lyons, CO 80540-0499
Phone (720) 310-8010
Other names
- James Robert Ingersoll
Other providers in Lyons, CO
- Michael Gay
- Ronald T Genova
- Robert Granger
- Eric J Harker
- Laurie A Harper
- Lisa Beth Hassin
- James D Herbert
- Sarah Simon Hunter
- Jbear MD
- Derrik Reid Johnson
All providers in Lyons, CO · Addiction (Substance Use Disorder) Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.