Jeff Hillis
Individual provider Active NPI Counselor · Berthoud, CO
NPI 1922794643 · NPPES record last updated Apr 15, 2023
Key facts
- NPI
- 1922794643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- LPCC.0019827 (CO)
- Practice address
- 1518 Glacier Ave
Berthoud, CO 80513-4417 - Phone
- (303) 829-9012
- NPI assigned
- Apr 14, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC.0019827 | CO | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPCC.0019827 | CO | Yes |
Addresses
Primary practice location
1518 Glacier Ave
Berthoud, CO 80513-4417
Mailing address
1518 Glacier Ave
Berthoud, CO 80513-4417
Phone (303) 829-9012
Other providers in Berthoud, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.