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ETHAN DEMILLER
NPI 1659007748
Peer Specialist in Greeley, CO

Active since July 29, 2022
928 12TH ST, GREELEY, CO 80631(970) 347-2120 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ethan Demiller NPPES

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

ETHAN DEMILLER (NPI 1659007748) is an individual peer specialist in Greeley, Colorado and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1659007748
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameETHAN DEMILLER
Location Address928 12TH STGreeley, CO 80631-4024
Mailing Address1300 N 17th AveGreeley, CO 80631-9584 · (970) 347-2120
Phone(970) 347-2120
Sole ProprietorNo
Enumeration DateJuly 29, 2022
NPPES CertifiedJuly 29, 2022
✔ NPI 1659007748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

928 12TH ST, Greeley, CO 80631
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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.

RENEE ROGERS LMFT
Marriage & Family Therapist
928 12TH ST
GREELEY, CO 80631
Weld County (970) 336-4933
TYLER REED TROYER MA
Marriage & Family Therapist
928 12TH ST
GREELEY, CO 80631
Weld County (970) 350-6730
MS. KAREN MOSIER NICHOLSON MA, LCPC, LPC
Counselor (Professional)
928 12TH ST
GREELEY, CO 80631
Weld County (970) 352-1056
MISS ANGELICA CHAVARRIA PERINO LPC, CAC III
Counselor (Professional)
928 12TH ST
GREELEY, CO 80631
Weld County (970) 336-4936
MRS. LAURA G GROTENHUIS MS ED
Counselor
928 12TH ST
GREELEY, CO 80631
Weld County (970) 336-4923
TARA M KAYSEN M.ED., LPC
Counselor (Professional)
928 12TH ST
GREELEY, CO 80631
Weld County (970) 336-4922
MR. BLAKE BAKER NICHOLSON III LCSW
Social Worker (Clinical)
928 12TH ST
GREELEY, CO 80631
Weld County (970) 336-4910
ANASTASIA MARIE WEBB L.P.C.
Social Worker
928 12TH ST
GREELEY, CO 80631
Weld County (970) 352-1056

Frequently Asked Questions

What is Ethan Demiller's NPI number?

The NPI number assigned to this healthcare provider is 1659007748, enumerated as an "individual" on July 29, 2022.

Where is the provider located?

The provider is located at 928 12TH ST GREELEY, CO 80631 and the phone number is (970) 347-2120.

What is the provider's specialty?

Peer Specialist with taxonomy code 175T00000X.