Individual provider Active NPI

Michael Dinneen, LCSW

  • Addiction (Substance Use Disorder) Counselor
  • Greenwood Village, CO
National Provider Identifier
1770072811
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
4707 Issued in CO
Practice address
5600 S Quebec St Ste 126B
Greenwood Village, CO 80111-2209
Phone
(720) 935-5903
NPI assigned
May 3, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 992263 CO
Addiction (Substance Use Disorder) Counselor 101YA0400X 4707 CO Primary

Addresses

Primary practice location

5600 S Quebec St Ste 126B
Greenwood Village, CO 80111-2209

Mailing address

5600 S Quebec St Ste 126B
Greenwood Village, CO 80111-2209
Phone (720) 935-5903

Other identifiers 1

IdentifierTypeStateIssuer
4707OtherCOCACIII

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
992263COMDProfessional Counselor
4707COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Valiant DTX, LLC CurrentSince Mar 20, 2025 Accepting new patients
Restorations Therapy, LLC Addiction (Substance Use Disorder) Past Accepting new patients

Locations

6994 County Road 39
Fort Lupton, CO 80621
Phone (505) 231-5585

5600 S Quebec St
Ste 126B
Greenwood Village, CO 80111
Phone (303) 407-6810

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": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1770072811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 S QUEBEC ST STE 126B",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112209",
            "telephone_number": "720-935-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 S QUEBEC ST STE 126B",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112209",
            "telephone_number": "720-935-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINNEEN",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "992263",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "4707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CACIII",
            "identifier": "4707",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.