Individual provider Active NPI

Micaela Aviles

  • Professional Counselor
  • Aurora, CO
National Provider Identifier
1760966006
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCC.0018450 Issued in CO
Practice address
390 S Potomac Way Ste C
Aurora, CO 80012-2491
Phone
(720) 306-1112
NPI assigned
Sep 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPCC.0018450 CO 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

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

LicenseStateTypeSpecialty
LPCC.0018450COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Uncharted Traveler Counseling LLC Current Accepting new patients
Uncharted Traveler Counseling LLC Current Accepting new patients

Locations

7850 Vance Dr
Ste 155
Arvada, CO 80003
Phone (720) 306-1112

390 S Potomac Way
Ste C
Aurora, CO 80012
Phone (303) 365-0000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1537574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1760966006",
    "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILES",
        "first_name": "MICAELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-22",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPCC.0018450",
            "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 Nov 25, 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.