Individual provider Active NPI

Trudy Magnuson, LPC CACIII

  • Counselor
  • Wheat Ridge, CO
National Provider Identifier
1801919394
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
3009 Issued in CO
Practice address
9605 W 49TH Ave Ste 100
Wheat Ridge, CO 80033-2297
Phone
(303) 552-5969
Fax
(303) 552-5970
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 3009 CO Primary

Addresses

Primary practice location

9605 W 49TH Ave Ste 100
Wheat Ridge, CO 80033-2297

Mailing address

9605 W 49TH Ave Ste 100
Wheat Ridge, CO 80033-2297
Phone (303) 552-5969

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
3009COMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801919394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9605 W 49TH AVE STE 100",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332297",
            "telephone_number": "303-552-5969",
            "fax_number": "303-552-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9605 W 49TH AVE STE 100",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332297",
            "telephone_number": "303-552-5969",
            "fax_number": "303-552-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNUSON",
        "first_name": "TRUDY",
        "credential": "LPC CACIII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "3009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.