MEDICARE: DR. BENJAMIN D. AIKEN PHD, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	13697	CO
2	101YM0800X	Mental Health Counselor	1670	WY

General Provider Information

NPI Number	:	1134632755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN D. AIKEN PHD, LPC

Provider Business Mailing Address
First Line	:	1312 17TH ST # 1188
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-1508
Country	:	US
Telephone Number	:	303-332-7850
Fax Number	:

Provider Business Practice Location Address
First Line	:	1312 17TH ST # 1188
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-1508
Country	:	US
Telephone Number	:	303-332-7850
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2017
Last Update Date	:	08/04/2021

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