Nicholaus Leo Carmody

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

29451 Falcon Ridge Dr
Evergreen, CO 80439-6564

Phone

(720) 587-9499

NPI assigned

Feb 11, 2020

Last updated

Feb 11, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1952933608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29451 FALCON RIDGE DR",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804396564",
            "telephone_number": "720-587-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29451 FALCON RIDGE DR",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804396564",
            "telephone_number": "720-587-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMODY",
        "first_name": "NICHOLAUS",
        "middle_name": "LEO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harlee Caicedo, BCBA
• Wesley Joseph Cain, LPCC
• Jordan Campbell, PHARM D
• Kara Jane Campbell, LCSW
• Linda Ann Carlson, CMT
• James Bryan Carter, CERTIFIED SURGICAL A
• Catholic Charities and Community Services of the Archdiocese of Denver (St. Raphael Counseling)
• Catholic Health Initiatives Colorado (St Anthony Health Center Evergreen)
• Catholic Health Initiatives Colorado (Evgn Primary Care)
• Center Group Holdings LLC

• Mental Health Counselor in Evergreen, CO
• Providers in Evergreen, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.