Individual provider Active NPI

Danielle L Demaria

  • Marriage & Family Therapist
  • Colorado Springs, CO
National Provider Identifier
1003002676
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
919 Issued in CO
Practice address
1322 N Academy Blvd
Ste. 202
Colorado Springs, CO 80909-3317
Phone
(719) 428-8939
Fax
(719) 218-9001
NPI assigned
Sep 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 919 CO Primary
Marriage & Family Therapist 106H00000X 48122 CA

Addresses

Primary practice location

1322 N Academy Blvd
Ste. 202
Colorado Springs, CO 80909-3317

Mailing address

1322 N Academy Blvd
Ste. 202
Colorado Springs, CO 80909-3317
Phone (719) 428-8939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
48122CAMDOral and Maxillofacial Surgery (Dentist)
919COMDPhysician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1003002676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 N ACADEMY BLVD",
            "address_2": "STE. 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093317",
            "telephone_number": "719-428-8939",
            "fax_number": "719-218-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 N ACADEMY BLVD",
            "address_2": "STE. 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093317",
            "telephone_number": "719-428-8939",
            "fax_number": "719-218-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARIA",
        "first_name": "DANIELLE",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "919",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.