Active NPI
Abigail S Prince, MA
- Professional Counselor
- Aurora, CO
National Provider Identifier
1912298746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0011177
- Practice address
- 10782 E. Alameda Ave
Aurora, CO 80012-1017 - Phone
- (303) 617-2300
- NPI assigned
- Apr 27, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0011177 | CO | Primary |
Addresses
Primary practice location
10782 E. Alameda Ave
Aurora, CO 80012-1017
Mailing address
11059 E. Bethany Drive
Ste 200
Aurora, CO 80014-9811
Phone (303) 617-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75904381 | Medicaid | CO |
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 |
|---|---|---|---|
| LPC.0011177 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389571200000",
"number": "1912298746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11059 E. BETHANY DRIVE",
"address_2": "STE 200",
"city": "AURORA",
"state": "CO",
"postal_code": "800149811",
"telephone_number": "303-617-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10782 E. ALAMEDA AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800121017",
"telephone_number": "303-617-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE",
"first_name": "ABIGAIL",
"middle_name": "S",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-27",
"last_updated": "2014-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0011177",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "75904381",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.