Erik Vienneau, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2942 Evergreen Pkwy Ste 200
Evergreen, CO 80439-2223

Phone

(970) 390-4318

NPI assigned

Jun 15, 2022

Last updated

Jun 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Awake Mindful Therapy

  • Adult Mental Health Clinic/Center
  • Evergreen, CO
  • NPI 1225653413
  NPD Authorized official

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1720718455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6429 ELAINE RD",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397055",
            "telephone_number": "970-390-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2942 EVERGREEN PKWY STE 200",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804392223",
            "telephone_number": "970-390-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIENNEAU",
        "first_name": "ERIK",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.awakeexperience.com/contact",
            "affiliation": "N",
            "endpointDescription": "web location",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2942 Evergreen Pkwy Ste 200",
            "city": "Evergreen",
            "state": "CO",
            "country_code": "US",
            "postal_code": "804392223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Lisa J. Wainio

• Mental Health Counselor in Evergreen, CO
• Providers in Evergreen, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.