At Your Convenience Mental Health and Relationship Counseling of Denve

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ACD.0000935 Issued in CO

Legal business name

AT YOUR CONVENIENCE MENTAL HEALTH AND RELATIONSHIP COUNSELING OF DENVE

Practice address

9025 E Kenyon Ave
Denver, CO 80237-1804

Phone

(720) 266-0489

NPI assigned

Apr 10, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Mark Matthew Miller, LPC,LACNPI 1346799327

Title

Ceo/Lead Counselor

Phone

(720) 266-0489

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Matthew Miller

  • Professional Counselor
  • Denver, CO
  • NPI 1346799327

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1861999500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 E KENYON AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371804",
            "telephone_number": "720-266-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 E KENYON AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371804",
            "telephone_number": "720-266-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT YOUR CONVENIENCE MENTAL HEALTH AND RELATIONSHIP COUNSELING OF DENVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO/LEAD COUNSELOR",
        "authorized_official_telephone_number": "720-266-0489",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC,LAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0000935",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0014527",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Denver, CO
• Providers in Denver, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.