Provider Demographics
NPI:1508631920
Name:CHARNY, ADAM ROSS (LPC)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:ROSS
Last Name:CHARNY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 S PECOS WAY
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80223-2605
Mailing Address - Country:US
Mailing Address - Phone:720-281-9804
Mailing Address - Fax:
Practice Address - Street 1:190 E 9TH AVE STE 250
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2748
Practice Address - Country:US
Practice Address - Phone:720-515-0194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-15
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X
CO0021236101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No251S00000XAgenciesCommunity/Behavioral Health