Active NPI
Donna G Deffke
- Addiction (Substance Use Disorder) Counselor
- Longmont, CO
National Provider Identifier
1982229621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- ACB.0006995
- Practice address
- 420 21St Ave
Longmont, CO 80501-1441 - Phone
- (303) 834-9369
- Fax
- (303) 834-9396
- NPI assigned
- Jun 9, 2020
- Last updated
- Jun 9, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACB.0006995 | CO | Primary |
Addresses
Primary practice location
420 21St Ave
Longmont, CO 80501-1441
Mailing address
420 21St Ave
Longmont, CO 80501-1441
Phone (303) 834-9369
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
| License | State | Type | Specialty |
|---|---|---|---|
| ACB.0006995 | CO | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591660800000",
"number": "1982229621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 21ST AVE",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805011441",
"telephone_number": "303-834-9369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 21ST AVE",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805011441",
"telephone_number": "303-834-9369",
"fax_number": "303-834-9396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFFKE",
"first_name": "DONNA",
"middle_name": "G",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-09",
"last_updated": "2020-06-09",
"certification_date": "2020-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACB.0006995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.