EVAN PAUL ROBERTSON LPC; LAC NPI 1902312788

NPI Information

NPI: 1902312788
Provider Name: EVAN PAUL ROBERTSON, LPC; LAC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
4455 E 12TH AVE
DENVER, CO
ZIP 80220
Phone: (720) 363-5230
Get Directions

Evan Paul Robertson, LPC; LAC is a professional counselor in Denver, CO. Evan Paul Robertson, LPC; LAC NPI is 1902312788. 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:

4455 E 12TH AVE
DENVER, CO
ZIP 80220-415
Phone: (720) 363-5230

The NPI 1902312788 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 12/16/2017 and was last updated on 11/9/2023.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	ACD.0001310	COLORADO	No
2	101YM0800X	Counselor	Mental Health			No
3	101YP2500X	Counselor	Professional	LPC.0016020	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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