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ANDREW SOVANNAK PONN
NPI 1457299240
Counselor - Mental Health in Elizabeth, CO

Active since March 23, 2026
594 YANKEE BOY LOOP, ELIZABETH, CO 80107(720) 383-3419 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew Sovannak Ponn NPPES

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

ANDREW SOVANNAK PONN (NPI 1457299240) is an individual mental health provider in Elizabeth, Colorado, licensed in Colorado (LPCC.0023260) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1457299240
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameANDREW SOVANNAK PONN
Location Address594 YANKEE BOY LOOPElizabeth, CO 80107-8688
Mailing Address594 Yankee Boy LoopElizabeth, CO 80107-8688 · (720) 383-3419
Phone(720) 383-3419
Sole ProprietorYes
Enumeration DateMarch 23, 2026
NPPES CertifiedMarch 23, 2026
✔ NPI 1457299240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CO · LPCC.0023260
594 YANKEE BOY LOOP, Elizabeth, CO 80107
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Andrew Ponn's NPI number?

The NPI number for Andrew Ponn is 1457299240. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Where is Andrew Ponn located?

Andrew Ponn practices at 594 Yankee Boy Loop, Elizabeth, CO 80107. The listed phone number is (720) 383-3419.

What is Andrew Ponn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Andrew Ponn was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.