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1093686560 NPI number — ALEXIS ANDREA IRIAS LPCC, ADDC

NPI Number: 1093686560
Health Care Provider/Practitioner: ALEXIS ANDREA IRIAS LPCC, ADDC

Information about “1093686560” NPI (ALEXIS ANDREA IRIAS LPCC, ADDC) exists in 1093686560 in HTML format HTML  |  1093686560 in plain Text format TXT  |  1093686560 in PDF (Portable Document Format) PDF  |  1093686560 in an XML format XML  formats.

NPI Number : 1093686560 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093686560",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "IRIAS",
    "FirstName": "ALEXIS",
    "MiddleName": "ANDREA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPCC, ADDC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8795 RALSTON RD STE 110",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ARVADA",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80002-2353",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-806-9286",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1600 N PENNSYLVANIA ST STE B2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DENVER",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80203-1303",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-806-9286",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/16/2025",
    "LastUpdateDate": "09/16/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "ADDC.0000608",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": "LPCC.0023142",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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