Active NPI
Patrick Herzer, L.M.H.C.A.
- Mental Health Counselor
- Lakewood, CO
National Provider Identifier
1679971154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC60448704
- Practice address
- 13701 W Jewell Ave Ste 205
Lakewood, CO 80228-4180 - Phone
- (720) 440-2985
- Fax
- (303) 484-3943
- NPI assigned
- Dec 15, 2014
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC60448704 | WA | Primary |
Addresses
Primary practice location
13701 W Jewell Ave Ste 205
Lakewood, CO 80228-4180
Mailing address
13701 W Jewell Ave Ste 205
Lakewood, CO 80228-4180
Phone (720) 440-2985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 7, 2024 through Aug 7, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC60448704 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Home Society of Washington | Past | Accepting new patients | |
| Cornerstone Christian Counseling, Inc | Past | Accepting new patients | |
| Cornerstone Christian Counseling, Inc | Past | Accepting new patients | |
| Children'S Home Society | Past | Accepting new patients | |
| Cornerstone Christian Counseling, Inc | Past | Accepting new patients | |
| Cornerstone Christian Counseling, Inc | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Community/Behavioral Health Agency
- Wheat Ridge, CO
- NPI 1437749728
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lakewood, CO
- NPI 1558615708
-
- Community/Behavioral Health Agency
- Colorado Springs, CO
- NPI 1598355885
-
- Community/Behavioral Health Agency
- Westminster, CO
- NPI 1740870021
-
- Adolescent and Children Mental Health Clinic/Center
- Wenatchee, WA
- NPI 1376056796
-
- Community/Behavioral Health Agency
- Wenatchee, WA
- NPI 1174601611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1679971154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13701 W JEWELL AVE STE 205",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802284180",
"telephone_number": "720-440-2985",
"fax_number": "303-484-3943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13701 W JEWELL AVE STE 205",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802284180",
"telephone_number": "720-440-2985",
"fax_number": "303-484-3943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERZER",
"first_name": "PATRICK",
"credential": "L.M.H.C.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-15",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC60448704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.