Provider Demographics
NPI:1003368846
Name:PINKNEY, JAMES III
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:PINKNEY
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12101 E 2ND AVE STE 101
Mailing Address - Street 2:COLORADO SCHOOL FOR FAMILY THERAPY
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-8328
Mailing Address - Country:US
Mailing Address - Phone:303-909-9952
Mailing Address - Fax:303-395-0430
Practice Address - Street 1:12101 E 2ND AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-8327
Practice Address - Country:US
Practice Address - Phone:303-909-9952
Practice Address - Fax:303-395-0430
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-27
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0014080101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO101YP2500XMedicaid
CO101YA0400XMedicaid
CO103TB0200XMedicaid
CO101M0800XMedicaid