Tristan Dubovich

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

50 S Steele St Ste 377
Denver, CO 80209-2808

Phone

(720) 318-2450

NPI assigned

Sep 19, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• The Cannon Institute, PLLC

  • Mental Health Counselor
  • Denver, CO
  • NPI 1962154229
  NPD

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1992583157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S STEELE ST STE 377",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802092808",
            "telephone_number": "720-318-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S STEELE ST STE 377",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802092808",
            "telephone_number": "720-318-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOVICH",
        "first_name": "TRISTAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@thecannoninstitute.com",
            "affiliation": "N",
            "address_1": "50 S Steele St Ste 377",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802092808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jose Andres Duarte
• Martin David Dubin, PSY.D.
• Jordyn Taylor Dubois
• Trevor Dubois
• Wayne L Dubois, PA
• M. Doreen Dubs, M.A., L.P.C.
• William Joseph Duca, CSA
• Kenna S Ducey-Clark, D.C., P.C.
• Alexandra G Duckworth, MD
• Cynthia Ann Duckworth, LPC

• Marriage & Family Therapist in Denver, CO
• Providers in Denver, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.