Individual provider Active NPI

Cassidy Joy Zavala

  • Mental Health Counselor
  • Commerce City, CO
National Provider Identifier
1811545668
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
14127 E 101St Ave
Commerce City, CO 80022-9525
Phone
(720) 425-9008
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

14127 E 101St Ave
Commerce City, CO 80022-9525

Mailing address

14127 E 101St Ave
Commerce City, CO 80022-9525
Phone (720) 425-9008

Other practice location 1

457 S 4th Ave
Brighton, CO 80601-3101
Phone (720) 425-9008

Other practice location 2

2949 Federal Blvd # 203
Denver, CO 80211-3741
Phone (720) 425-9008

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

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1811545668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14127 E 101ST AVE",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800229525",
            "telephone_number": "720-425-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14127 E 101ST AVE",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800229525",
            "telephone_number": "720-425-9008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "457 S 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "CO",
            "postal_code": "806013101",
            "country_code": "US",
            "telephone_number": "720-425-9008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2949 Federal Blvd # 203",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802113741",
            "country_code": "US",
            "telephone_number": "720-425-9008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAVALA",
        "first_name": "CASSIDY",
        "middle_name": "JOY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 21, 2020; 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.