JONATHAN AMARU VANTREECK LAC NPI 1679147045

NPI Information

NPI: 1679147045
Provider Name: JONATHAN AMARU VANTREECK, LAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
10782 E ALAMEDA AVE
AURORA, CO
ZIP 80012
Phone: (303) 617-2300
Get Directions

Jonathan Amaru Vantreeck, LAC is an addiction (substance use disorder) counselor in Aurora, CO. Jonathan Amaru Vantreeck, LAC NPI is 1679147045. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10782 E ALAMEDA AVE
AURORA, CO
ZIP 80012-017
Phone: (303) 617-2300
Fax: (303) 617-2397

The NPI 1679147045 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/19/2021 and was last updated on 12/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			No
2	104100000X	Social Worker				No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	0002305	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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