Organization Active NPI

Passway Counseling LLC

  • Marriage & Family Therapist
  • Commerce City, CO
National Provider Identifier
1740867894
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
PASSWAY COUNSELING LLC
Practice address
12928 E 106TH Way
Commerce City, CO 80022-0627
Phone
(303) 376-9066
NPI assigned
Mar 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Richard White, LMFTNPI 1730423906
Title
Provider
Phone
(303) 376-9066

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

12928 E 106TH Way
Commerce City, CO 80022-0627

Mailing address

12928 E 106TH Way
Commerce City, CO 80022-0627

Other identifiers 1

IdentifierTypeStateIssuer
72120266MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL passwaycounseling.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240227002007 CO Part B Supplier - Clinic/Group Practice 2769827013 Receives reassigned benefits from 1 practitioner
Practice locations: Commerce City, CO

National Provider Directory

National Provider Directory
Tax ID family
Passway 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": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1740867894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12928 E 106TH WAY",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800220627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12928 E 106TH WAY",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800220627",
            "telephone_number": "303-376-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSWAY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "303-376-9066",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72120266",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "passwaycounseling.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12928 E 106th Way",
            "city": "Commerce City",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800220627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Commerce City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.