Individual provider Active NPI

Joseph Denicholas

  • Mental Health Counselor
  • Louisville, CO
National Provider Identifier
1922650662
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
NLC.0109598 Issued in CO
Practice address
844 Main St Ste 203
Louisville, CO 80027-1806
NPI assigned
Jul 12, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NLC.0109598 CO Primary

Addresses

Primary practice location

844 Main St Ste 203
Louisville, CO 80027-1806

Mailing address

1437 Moonlight Dr
Longmont, CO 80504-1758
Phone (480) 467-8785

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

State licenses

LicenseStateTypeSpecialty
NLC.0109598COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mind and Bodhi Therapy LLC CurrentSince Jan 22, 2023 Accepting new patients

Locations

844 Main St
Ste 203
Louisville, CO 80027
Phone (720) 550-2677

2002 W 120th Ave
Ste A
Westminster, CO 80234
Phone (970) 633-2913

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1922650662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 MOONLIGHT DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805041758",
            "telephone_number": "480-467-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 MAIN ST STE 203",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENICHOLAS",
        "first_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-12",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "NLC.0109598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.