Individual provider Active NPI

Olivia Dawn Hannon Cichon

  • Addiction (Substance Use Disorder) Counselor
  • Denver, CO
National Provider Identifier
1679850119
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
278 Issued in CO
Practice address
10200 E Girard Ave
D218
Denver, CO 80231
Phone
(720) 722-1825
NPI assigned
Nov 11, 2011
Last updated
Mar 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 278 CO Primary

Addresses

Primary practice location

10200 E Girard Ave
D218
Denver, CO 80231

Mailing address

10200 E Girard Ave
D218
Denver, CO 80231-5500
Phone (720) 722-1825

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
I20240409003944 CO Practitioner - Mental Health Counselor 1456799501 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
278COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Olive Tree Counseling, LLC Addiction (Substance Use Disorder) CurrentSince Feb 3, 2024 Accepting new patients

Locations

10200 E Girard Ave
Ste B222
Denver, CO 80231
Phone (720) 677-0257

10200 E Girard Ave
Ste D218
Denver, CO 80231
Phone (720) 279-8116

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1679850119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 E GIRARD AVE",
            "address_2": "D218",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802315500",
            "telephone_number": "720-722-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 E GIRARD AVE",
            "address_2": "D218",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80231",
            "telephone_number": "720-722-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICHON",
        "first_name": "OLIVIA",
        "middle_name": "DAWN HANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-11",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.