Active NPI
Nathan Pacheco, MA, NCC, LPCC
- Mental Health Counselor
- Longmont, CO
National Provider Identifier
1902570179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPCC.0018267
- Practice address
- 709 3Rd Ave
Longmont, CO 80501-5926 - Phone
- (720) 507-5249
- NPI assigned
- Aug 2, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPCC.0018267 | CO | Primary |
Addresses
Primary practice location
709 3Rd Ave
Longmont, CO 80501-5926
Mailing address
2346 W 165TH PL
Broomfield, CO 80023
Phone (720) 206-7475
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC.0018267 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1902570179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2346 W 165TH PL",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "80023",
"telephone_number": "720-206-7475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 3RD AVE",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805015926",
"telephone_number": "720-507-5249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO",
"first_name": "NATHAN",
"credential": "MA, NCC, LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-02",
"last_updated": "2021-08-02",
"certification_date": "2021-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPCC.0018267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.