Organization Active NPI

Uncharted Traveler Counseling LLC

  • Adult Mental Health Clinic/Center
  • Aurora, CO
National Provider Identifier
1700646452
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
UNCHARTED TRAVELER COUNSELING LLC
Practice address
390 S Potomac Way Ste C
Aurora, CO 80012-2491
Phone
(720) 306-1112
Fax
(720) 783-2866
NPI assigned
Mar 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Micaela Aviles, LPCNPI 1760966006
Title
Licensed Professional Counselor
Phone
(720) 306-1112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

390 S Potomac Way Ste C
Aurora, CO 80012-2491

Mailing address

390 S Potomac Way Ste C
Aurora, CO 80012-2491
Phone (720) 306-1112

National Provider Directory

National Provider Directory
Tax ID family
Uncharted Traveler Counseling LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1700646452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 S POTOMAC WAY STE C",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800122491",
            "telephone_number": "720-306-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 S POTOMAC WAY STE C",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800122491",
            "telephone_number": "720-306-1112",
            "fax_number": "720-783-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNCHARTED TRAVELER COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "AVILES",
        "authorized_official_first_name": "MICAELA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "720-306-1112",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.