Healthcare Provider Details

I. General information

NPI: 1134033525
Provider Name (Legal Business Name): KEVIN DOUGLAS CHERRINGTON MA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4851 INDIANA ST. 1ST FLOOR
WHEAT RIDGE CO
80033
US

IV. Provider business mailing address

12300 W 80TH AVE
ARVADA CO
80005-3348
US

V. Phone/Fax

Practice location:
  • Phone: 303-425-0033
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: