Individual provider Active NPI

Michael Dennis Misgen, LPC

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1982712147
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2533 Issued in CO
Practice address
3955 E Exposition Ave
Suite 202
Denver, CO 80209-5000
Phone
(303) 974-0653
Fax
(303) 316-7352
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2533 CO Primary

Addresses

Primary practice location

3955 E Exposition Ave
Suite 202
Denver, CO 80209-5000

Mailing address

3955 E Exposition Ave
Suite 202
Denver, CO 80209-5000
Phone (303) 974-0653

Other practice location 1

2130 Stout St
Denver, CO 80205-2827
Phone (303) 293-2220

Other identifiers 2

IdentifierTypeStateIssuer
1417962234OtherCOGROUP NPI
841044412OtherCOPRACTICE TAX ID

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

LicenseStateTypeSpecialty
2533COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Misgelow Enterprises LLC Mental Health Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1982712147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 E EXPOSITION AVE",
            "address_2": "SUITE 202",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802095000",
            "telephone_number": "303-974-0653",
            "fax_number": "303-316-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 E EXPOSITION AVE",
            "address_2": "SUITE 202",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802095000",
            "telephone_number": "303-974-0653",
            "fax_number": "303-316-7352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 Stout St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802052827",
            "country_code": "US",
            "telephone_number": "303-293-2220",
            "fax_number": "303-296-8826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISGEN",
        "first_name": "MICHAEL",
        "middle_name": "DENNIS",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "2533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1417962234",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE TAX ID",
            "identifier": "841044412",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.