Organization Active NPI

Connexus Counseling Center, LLC

Doing business as Connexus Services

  • Professional Counselor
  • Lakewood, CO
National Provider Identifier
1700027828
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0011395 Issued in CO
Legal business name
CONNEXUS COUNSELING CENTER, LLC
Doing business as
Connexus Services
Practice address
9255 W Alameda Ave
Unit E
Lakewood, CO 80226-2802
Phone
(303) 523-8108
Fax
(303) 558-3807
NPI assigned
Mar 19, 2009
Last updated
Nov 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Scott David Clift, MA
Title
Sole Proprietor
Phone
(303) 523-8108

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 0011395 CO Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

9255 W Alameda Ave
Unit E
Lakewood, CO 80226-2802

Mailing address

4155 E Jewell Ave
712
Denver, CO 80222-4504
Phone (303) 523-8108

Other identifiers 1

IdentifierTypeStateIssuer
1659524809OtherNATIONAL PROVIDER IDENTIFIER (SOLE PROPRIETOR)

Other names 1

  • Connexus Services Doing business as

National Provider Directory

National Provider Directory

Locations

4155 E Jewell Ave
Ste 712
Denver, CO 80222
Phone (303) 523-8108

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1700027828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 E JEWELL AVE",
            "address_2": "712",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224504",
            "telephone_number": "303-523-8108",
            "fax_number": "720-230-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9255 W ALAMEDA AVE",
            "address_2": "UNIT E",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262802",
            "telephone_number": "303-523-8108",
            "fax_number": "303-558-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNEXUS COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "CLIFT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "303-523-8108",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0011395",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFIER (SOLE PROPRIETOR)",
            "identifier": "1659524809",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connexus Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.