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: August 23, 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
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

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.

Community Health Worker
928 12TH ST
GREELEY, CO 80631
Counselor
928 12TH ST
GREELEY, CO 80631
Counselor (Professional)
928 12TH ST
GREELEY, CO 80631
Social Worker (Clinical)
928 12TH ST
GREELEY, CO 80631
Counselor
928 12TH ST
GREELEY, CO 80631
Counselor (Professional)
928 12TH ST
GREELEY, CO 80631
Social Worker (Clinical)
928 12TH ST
GREELEY, CO 80631
Peer Specialist
928 12TH ST
GREELEY, CO 80631

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 Ethan Demiller's NPI number?

The NPI number for Ethan Demiller is 1659007748. It was assigned to this individual provider in the NPPES registry on July 29, 2022.

Where is Ethan Demiller located?

Ethan Demiller practices at 928 12th St, Greeley, CO 80631. The listed phone number is (970) 347-2120.

What is Ethan Demiller's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Ethan Demiller was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.