The Sustainable Self, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

11224 Issued in CO

Legal business name

THE SUSTAINABLE SELF, LLC

Practice address

950 Wadsworth Blvd
201
Lakewood, CO 80214-4591

Phone

(720) 924-1523

NPI assigned

Jan 28, 2014

Last updated

Jan 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Davis, MA, LPCNPI 1386057644

Title

Professional Counselor/Owner

Phone

(720) 924-1523

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Cameron Davis, MA, LPC

  • Professional Counselor
  • Denver, CO
  • NPI 1386057644
  Authorized official Same address or phone

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1891118857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 LEWIS ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802151349",
            "telephone_number": "720-924-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 WADSWORTH BLVD",
            "address_2": "201",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802144591",
            "telephone_number": "720-924-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SUSTAINABLE SELF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR/OWNER",
        "authorized_official_telephone_number": "720-924-1523",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "11224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Lakewood, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.