Organization Active NPI

Gary L Coats PHD PA

Doing business as Aspen Counseling Center

  • Clinical Psychologist
  • Littleton, CO
National Provider Identifier
1902956113
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1657 Issued in CO
Legal business name
GARY L COATS PHD PA
Doing business as
Aspen Counseling Center
Practice address
8361 S Sangre de Cristo Road
Suite 210
Littleton, CO 80127
Phone
(303) 756-5400
Fax
(303) 972-6463
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Authorized official

Name
Gary Lee Coats, PHDNPI 1558568436
Title
Director/Owner
Phone
(303) 756-5400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 1657 CO Primary

Addresses

Primary practice location

8361 S Sangre de Cristo Road
Suite 210
Littleton, CO 80127

Mailing address

9543 W Caley Avenue
Littleton, CO 80123
Phone (303) 756-5400

Other identifiers 1

IdentifierTypeStateIssuer
04014809MedicaidCO

Other names 1

  • Aspen Counseling Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040309001365 CO Part B Supplier - Clinic/Group Practice 7315835402 Receives reassigned benefits from 2 practitioners
Practice locations: Littleton, CO

National Provider Directory

National Provider Directory

Locations

6444 E Hampden Ave
Ste C
Denver, CO 80222
Phone (303) 756-5400

8361 Sangre de Cristo Rd
Ste 210
Littleton, CO 80127
Phone (303) 731-0525

6901 S Pierce St
Ste 239
Littleton, CO 80128
Phone (303) 756-5400

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1902956113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9543 W CALEY AVENUE",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "80123",
            "telephone_number": "303-756-5400",
            "fax_number": "303-972-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8361 S SANGRE DE CRISTO ROAD",
            "address_2": "SUITE 210",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "80127",
            "telephone_number": "303-756-5400",
            "fax_number": "303-972-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L COATS PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "COATS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "303-756-5400",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "1657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04014809",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.