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MICHAEL ANDREW MENDOZA
NPI 1154152379
Counselor - Professional in Denver, CO

Active since August 09, 2024PECOS EnrolledAccepts Medicare Assignment
4455 E 12TH AVE, DENVER, CO 80220(303) 504-7700 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 19, 2025, Aug 20, 2024, Aug 9, 2024 (3 updates tracked since 2024).

About Michael Andrew Mendoza NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL ANDREW MENDOZA (NPI 1154152379) is an individual professional provider in Denver, Colorado, licensed in Colorado (LPC.0021157) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1154152379
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMICHAEL ANDREW MENDOZA
Location Address4455 E 12TH AVEDenver, CO 80220-2415
Mailing Address220 Summit Blvd Unit 402Broomfield, CO 80021-8272 · (303) 513-5630
Phone(303) 504-7700
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 9, 2024
Last NPPES UpdateDecember 19, 20253 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
✔ NPI 1154152379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · LPC.0021157
4455 E 12TH AVE, Denver, CO 80220
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1220 Summit Blvd Unit 402Broomfield, CO 80021-8272 · Phone (303) 513-5630
Location 28791 Wolff Ct Ste 230Westminster, CO 80031-3693 · Phone (720) 507-6710

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Andrew Mendoza is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446756936
PECOS Enrollment IDI20251002004933
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Mendoza reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health Center Of Denver
Same address
Mental Health (Including Community Mental Health Center)
4455 E 12TH AVE
Denver, CO 80220
  • Reassigned Medicare billing, Colorado enrollment
  • 227 clinicians in this Medicare group
NPI 1740002468 (303) 504-7700
Adria Rigg LLC
2.7 mi
Professional
3401 QUEBEC ST STE 4500
Denver, CO 80207
  • Reassigned Medicare billing, Colorado enrollment
  • 12 clinicians in this Medicare group
NPI 1881325421 (720) 699-7521

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEFAN MICHAEL BUMOL
Psychiatry & Neurology (Psychiatry)
4455 E 12TH AVE
DENVER, CO 80220
Denver County (303) 504-7700
WHITNEY GOODWIN
Case Manager/Care Coordinator
4455 E 12TH AVE
DENVER, CO 80220
Denver County (303) 504-7700
CHARLOTTE SCHNEIDER LPN
Licensed Practical Nurse
4455 E 12TH AVE
DENVER, CO 80220
Denver County (303) 504-7882
AZIYAH PATTERSON
Case Manager/Care Coordinator
4455 E 12TH AVE
DENVER, CO 80220
Denver County (303) 504-7700
LAURA ANN OLSON LCSW
Social Worker (Clinical)
4455 E 12TH AVE
DENVER, CO 80220
Denver County (303) 504-7668
MRS. ELANNA SOPHIA TRYON LPC
Counselor (Professional)
4455 E 12TH AVE
DENVER, CO 80220
Denver County (303) 504-7707
CHARLES ELIAS KORANSKY MD
Psychiatry & Neurology (Psychiatry)
4455 E 12TH AVE
DENVER, CO 80220
Denver County (303) 504-7700
ASHLEY MARIN DAVIS MSW
Case Manager/Care Coordinator
4455 E 12TH AVE
DENVER, CO 80220
Denver County (303) 504-6500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Mendoza's NPI number?

The NPI number for Michael Mendoza is 1154152379. It was assigned to this individual provider in the NPPES registry on August 9, 2024.

Where is Michael Mendoza located?

Michael Mendoza practices at 4455 E 12th Ave, Denver, CO 80220. The listed phone number is (303) 504-7700.

What is Michael Mendoza's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Michael Mendoza enrolled in Medicare?

Yes. Michael Mendoza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michael Mendoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Mendoza reassigns Medicare benefits to 2 organizations: Mental Health Center Of Denver (Denver, CO) and Adria Rigg LLC (Denver, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Mendoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Mendoza accept?

Health plans from Select Health list Michael Mendoza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Mendoza was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.