Active NPI
Dianna Lee Cordero, LPC
- Mental Health Counselor
- Wheat Ridge, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC.0013702
- Practice address
- 4931 Garrison St.
Apt 104
Wheat Ridge, CO 80033 - Phone
- (252) 414-0511
- NPI assigned
- Aug 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC.0013702 | CO | Primary |
Addresses
Primary practice location
4931 Garrison St.
Apt 104
Wheat Ridge, CO 80033
Mailing address
4931 Garrison St Apt 104
Wheat Ridge, CO 80033-6700
Phone (252) 414-0511
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1200 Yarmouth Ave
Unit C
Boulder, CO 80304-4803
Phone (720) 507-6161
1575 N Franklin St
Denver, CO 80218-1624
Phone (720) 507-6161
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queer Asterisk | Mental Health | Current | Accepting new patients |
| Queer Asterisk | Mental Health | Past | Accepting new patients |
Locations
1200 Yarmouth Ave
Unit B
Boulder, CO 80304
Phone (303) 786-9314
1575 N Franklin St
Denver, CO 80218
Phone (303) 253-2187
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Denver, CO
- NPI 1972001568
-
- Mental Health Counselor
- Boulder, CO
- NPI 1437984382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1962920918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4931 GARRISON ST APT 104",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336700",
"telephone_number": "252-414-0511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4931 GARRISON ST.",
"address_2": "APT 104",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "80033",
"telephone_number": "252-414-0511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDERO",
"first_name": "DIANNA",
"middle_name": "LEE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-30",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPC.0013702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.