GARY ACKERT (NPI# 1073010203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073010203 |
| Entity Type | Individual |
| Full Name | GARY ACKERT |
| Credential | MA, LAC, MAC |
| Practice Address |
1290 S Potomac St Aurora CO 80012 |
| Mailing Address |
10812 W Evans Ave Unit 12 Lakewood CO 80227-2064 |
| Practice Telephone | 8153023623 |
| Mailing Telephone | 8153023623 |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC.0014551 | CO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1290 S Potomac St, Aurora, CO 80012 | 8153023623 |
| Street Address |
1290 S POTOMAC ST |
| City | AURORA |
| State | CO |
| Zip Code | 80012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760500557 | Jefferson Hills Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1290 S Potomac St, Aurora, CO 80012-4524 | 2007-03-27 |
| 1871192930 | Aurora Comprehensive Community Mental Health Center Inc | Substance Abuse Rehabilitation Facility | 1290 S Potomac St, Aurora, CO 80012-4524 | 2020-10-20 |
| 1588261762 | Aurora Comprehensive Community Mental Health Center | Substance Abuse Rehabilitation Facility | 1290 S Potomac St, Aurora, CO 80012-4524 | 2020-10-01 |
| 1760099659 | Devrey Ann Martin | Student in an Organized Health Care Education/Training Program | 1290 S Potomac St, Aurora, CO 80012-4524 | 2020-09-25 |
| 1356967012 | Emily Otero | Case Manager/Care Coordinator | 1290 S Potomac St, Aurora, CO 80012-4524 | 2020-06-18 |
| 1598398323 | Victoria N/a Awuah | Student in an Organized Health Care Education/Training Program | 1290 S Potomac St, Aurora, CO 80012-4524 | 2020-02-20 |
| 1841855004 | Paul Geroge-edgar Baesel | Student in an Organized Health Care Education/Training Program | 1290 S Potomac St, Aurora, CO 80012-4524 | 2019-05-03 |
| 1134783921 | Severin Hubka | Case Manager/Care Coordinator | 1290 S Potomac St, Aurora, CO 80012-4524 | 2019-04-26 |
| 1447814314 | Rodolfo Garza IIi | Case Manager/Care Coordinator | 1290 S Potomac St, Aurora, CO 80012-4524 | 2019-04-26 |
| 1831652437 | Justin Turnage | Case Manager/Care Coordinator | 1290 S Potomac St, Aurora, CO 80012-4524 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650765 | Veronica Kabuika | Specialist/Technologist, Other | 6792 E Tennessee Ave, Suite 645, Denver, CO 80012 | 2020-05-07 |
| 1811547631 | Aurora Dental and Orthodontics Pllc | Dentist | 15000 E Mississippi Ave, Aurora, CO 80012 | 2019-09-13 |
| 1306362108 | Melynda Barrios | Massage Therapist | 11912 E Nevada Cir, Aurora, CO 80012 | 2017-08-14 |
| 1851815633 | Gabriela Alejandra Perez-saenz | Audiologist | 1550 S. Potomac St. #305, Aurora, CO 80012 | 2017-08-02 |
| 1568991511 | Iora Health Colorado, P.C. | Internal Medicine | 1080 S. Sable Blvd., Aurora, CO 80012 | 2017-06-05 |
| 1275069734 | Sandra Pacheco | Case Manager/Care Coordinator | 10782 E Alameda Avenue, Aurora, CO 80012 | 2017-05-03 |
| 1578002010 | Green Taxi Corporation | Taxi | 10 S Havana St #103, Aurora, CO 80012 | 2017-02-16 |
| 1104372713 | Moss LLC | Non-emergency Medical Transport (VAN) | 950 S Cimmaron Way Unit K-201, Aurora, CO 80012 | 2016-09-01 |
| 1023461647 | Thompson Sowash | Optometrist | 13955 E Mississippi, Aurora, CO 80012 | 2016-07-19 |
| 1598117731 | Act of Kindness LLC | Respite Care | 1010 S Joliet Street Suite #101, Aurora, CO 80012 | 2016-07-12 |
| Find all providers in zip 80012 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104636 | Anastasia Canfield | Counselor | 12341 E Cornell Ave # 18, Aurora, CO 80014-3323 | 2020-11-07 |
| 1578192555 | Erin L Graves | Counselor | 13791 E Rice Pl Ste 115, Aurora, CO 80015-1079 | 2020-04-02 |
| 1538705330 | Johnathan Dunn | Counselor | 140 S. Lincoln Ave., Aurora, IL 60505 | 2019-11-27 |
| 1356985071 | Richard Yeager | Counselor | 2851 S Parker Rd Ste 1040, Aurora, CO 80014-2723 | 2019-11-06 |
| 1679128326 | Heather Hartleroad | Counselor | 21699 E Quincy Ave Unit F, #352, Aurora, CO 80015 | 2019-08-08 |
| 1477037729 | Melanie J Hart | Counselor | 23548 E Ottawa Pl, Aurora, CO 80016-4242 | 2018-09-22 |
| 1679056063 | Elisabeth Anne Kaplan | Counselor | 1329 N Lake St, Aurora, IL 60506-2409 | 2018-09-11 |
| 1679056477 | Natasha Ann Jackson | Counselor | 2899 S Xanadu Way, Aurora, CO 80014-3448 | 2018-09-08 |
| 1649771148 | Zachary N. Meers | Counselor | 4255 Westbrook Dr Ste 206, Aurora, IL 60504-8125 | 2018-02-21 |
| 1205349701 | Nicole Mahan | Counselor | 2067 Stephen St, Aurora, IL 60502-7173 | 2017-11-07 |
| Find all providers in AURORA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.