ETHAN LEANDRO GRIEGO
NPI 1760020903
Counselor - Professional in Denver, CO

Active since December 18, 2019PECOS EnrolledAccepts Medicare Assignment
4455 E 12TH AVE, DENVER, CO 80220(303) 504-7700 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 7, 2025, Dec 18, 2019 (2 updates tracked since 2019).

About Ethan Leandro Griego NPPES

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

ETHAN LEANDRO GRIEGO (NPI 1760020903) is an individual professional provider in Denver, Colorado, licensed in Colorado (0022402) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1760020903
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameETHAN LEANDRO GRIEGO
Location Address4455 E 12TH AVEDenver, CO 80220-2415
Mailing Address4455 E 12th AveDenver, CO 80220-2415
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 18, 2019
Last NPPES UpdateAugust 7, 20252 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
NPI 1760020903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CO · 0022402
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 0022402 (CO)
4455 E 12TH AVE, Denver, CO 80220

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ethan Leandro Griego 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 ID7012411176
PECOS Enrollment IDI20250919004270
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.

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.

Psychiatry & Neurology (Psychiatry)
4455 E 12TH AVE
DENVER, CO 80220
Case Manager/Care Coordinator
4455 E 12TH AVE
DENVER, CO 80220
Licensed Practical Nurse
4455 E 12TH AVE
DENVER, CO 80220
Case Manager/Care Coordinator
4455 E 12TH AVE
DENVER, CO 80220
Social Worker (Clinical)
4455 E 12TH AVE
DENVER, CO 80220
Counselor (Professional)
4455 E 12TH AVE
DENVER, CO 80220
Psychiatry & Neurology (Psychiatry)
4455 E 12TH AVE
DENVER, CO 80220
Case Manager/Care Coordinator
4455 E 12TH AVE
DENVER, CO 80220

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 Griego's NPI number?

The NPI number for Ethan Griego is 1760020903. It was assigned to this individual provider in the NPPES registry on December 18, 2019.

Where is Ethan Griego located?

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

What is Ethan Griego's specialty?

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

Is Ethan Griego enrolled in Medicare?

Yes. Ethan Griego 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.

When was this NPI record last updated?

The NPPES record for Ethan Griego was last updated on August 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.