Active NPI
Negin Moallem
- Mental Health Counselor
- Denver, CO
National Provider Identifier
1710540414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC.0015037
- Practice address
- 8614 E Dartmouth Ave
Denver, CO 80231-4204 - Phone
- (303) 887-1183
- NPI assigned
- Apr 17, 2019
- Last updated
- Apr 17, 2019
- Sex
- Female
- 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 | LPC.0015037 | CO | Primary |
Addresses
Primary practice location
8614 E Dartmouth Ave
Denver, CO 80231-4204
Mailing address
8614 E Dartmouth Ave
Denver, CO 80231-4204
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 196553M002 | Other | CO | ANTHEM BLUE CROSS BLUESHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0015037 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1710540414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 E DARTMOUTH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802314204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8614 E DARTMOUTH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802314204",
"telephone_number": "303-887-1183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOALLEM",
"first_name": "NEGIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-17",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPC.0015037",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUESHIELD",
"identifier": "196553M002",
"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 Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.