Individual provider Active NPI

Adam Davis, MA, LPC

  • Professional Counselor
  • Denver, CO
National Provider Identifier
1710505417
Registry record updated Sep 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
950 S Cherry St Ste 1675
Denver, CO 80246-2532
Phone
(720) 380-3564
NPI assigned
Jul 9, 2020
Last updated
Sep 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

950 S Cherry St Ste 1675
Denver, CO 80246-2532

Mailing address

6343 W 120TH Ave Ste 105
Broomfield, CO 80020-3701
Phone (720) 380-3564

Other practice location 1

6343 W 120th Ave Ste 105
Broomfield, CO 80020-3701
Phone (720) 380-3564

Other practice location 2

6801 Jefferson St NE Ste 150
Albuquerque, NM 87109-4379
Phone (970) 658-0917

Other identifiers 1

IdentifierTypeStateIssuer
9000210346MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Konter Counseling LLC Mental Health Past Accepting new patients
Aspen Ridge Recovery PastSince Jul 1, 2020 Accepting new patients
Aspenridge Recovery PastSince Feb 1, 2021 Accepting new patients

Organizations & group practices 3

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": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725148800000",
    "number": "1710505417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6343 W 120TH AVE STE 105",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800203701",
            "telephone_number": "720-380-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S CHERRY ST STE 1675",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802462532",
            "telephone_number": "720-380-3564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6343 W 120th Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800203701",
            "country_code": "US",
            "telephone_number": "720-380-3564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6801 Jefferson St NE Ste 150",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871094379",
            "country_code": "US",
            "telephone_number": "970-658-0917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ADAM",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-09",
        "last_updated": "2024-09-01",
        "certification_date": "2024-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000210346",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.