Healthcare Provider Details

I. General information

NPI: 1437426186
Provider Name (Legal Business Name): AARON POWELL LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/23/2011
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

984 CASCADE FALLS ST
SEVERANCE CO
80550-2892
US

IV. Provider business mailing address

984 CASCADE FALLS ST
SEVERANCE CO
80550-2892
US

V. Phone/Fax

Practice location:
  • Phone: 505-453-2225
  • Fax:
Mailing address:
  • Phone: 505-453-2225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC-09542
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC-09542
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: