Active NPI
Tanya Diane Estrada, MSW
- Mental Health Counselor
- Thornton, CO
National Provider Identifier
1972775625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10174
- Practice address
- 12500 First St
Thornton, CO 80241-3800 - Phone
- (720) 838-6568
- Fax
- (303) 926-0837
- NPI assigned
- Apr 1, 2008
- 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 | 10174 | CO | Primary |
Addresses
Primary practice location
12500 First St
Thornton, CO 80241-3800
Mailing address
12500 First St
Thornton, CO 80241-3800
Phone (720) 838-6568
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10174 | Other | CO | UNLIC PSYCHOTHERAPIST |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1972775625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12500 FIRST ST",
"city": "THORNTON",
"state": "CO",
"postal_code": "802413800",
"telephone_number": "720-838-6568",
"fax_number": "303-926-0837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12500 FIRST ST",
"city": "THORNTON",
"state": "CO",
"postal_code": "802413800",
"telephone_number": "720-838-6568",
"fax_number": "303-926-0837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "TANYA",
"middle_name": "DIANE",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-01",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "10174",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNLIC PSYCHOTHERAPIST",
"identifier": "10174",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.