Individual provider Active NPI

Leonard Gregory Trujillo, LPC, LAC

  • Mental Health Counselor
  • Lakewood, CO
National Provider Identifier
1912041591
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5382-LPC Issued in CO
Practice address
8500 W Colfax Ave
Lakewood, CO 80215
Phone
(303) 360-6276
Fax
(303) 202-2912
NPI assigned
Feb 16, 2007
Last updated
Jun 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6616-CACIII CO
Mental Health Counselor 101YM0800X 5382-LPC CO Primary

Addresses

Primary practice location

8500 W Colfax Ave
Lakewood, CO 80215

Mailing address

3701 S Broadway
Englewood, CO 80113-3611
Phone (303) 360-6276

Other practice location 1

8801 Lipan Street
Thornton, CO 80260
Phone (303) 412-3993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312002808 CO Practitioner - Mental Health Counselor 2860847316 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6616-CACIIICOMDAddiction (Substance Use Disorder) Counselor
5382-LPCCOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Community Provider Network Inc CurrentSince Jan 30, 2024 Accepting new patients
Metro Community Provider Network, Inc. CurrentSince Jan 30, 2024 Accepting new patients
Metro Community Provider Network Inc Current Accepting new patients

Locations

3292 Peoria St
Aurora, CO 80010
Phone (303) 343-6130

2255 S Oneida St
Denver, CO 80224

3701 S Broadway
Englewood, CO 80113

8500 W Colfax Ave
Lakewood, CO 80215
Phone (303) 202-2911

17866 Cottonwood Dr
Parker, CO 80134
Phone (303) 205-6899

7495 W 29th Ave
Wheat Ridge, CO 80033
Phone (303) 239-9964

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1912041591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 S BROADWAY",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133611",
            "telephone_number": "303-360-6276",
            "fax_number": "303-761-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 W COLFAX AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80215",
            "telephone_number": "303-360-6276",
            "fax_number": "303-202-2912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8801 Lipan Street",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "80260",
            "country_code": "US",
            "telephone_number": "303-412-3993",
            "fax_number": "303-412-3365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "LEONARD",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "LPC, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "6616-CACIII",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "5382-LPC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.