Active NPI
Connect Therapies PLLC
- Professional Counselor
- Fort Collins, CO
National Provider Identifier
1003281791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CO 0005972
- Legal business name
- CONNECT THERAPIES PLLC
- Practice address
- 1502 S College Ave
Fort Collins, CO 80524-4116 - Phone
- (907) 663-1065
- NPI assigned
- Dec 6, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sally Blevins, MA LPC
- Title
- Owner
- Phone
- (817) 449-5485
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CO 0005972 | CO | Primary |
Addresses
Primary practice location
1502 S College Ave
Fort Collins, CO 80524-4116
Mailing address
5167 Hahns Peak Dr Apt 204
Loveland, CO 80538-8886
Phone (970) 663-1065
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005972 | Other | CO | COLROADO DEPT OF REGULATORY AGENCIES |
National Provider Directory
National Provider DirectoryLocations
1502 S College Ave
Fort Collins, CO 80524
Phone (303) 667-2940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449360000000",
"number": "1003281791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5167 HAHNS PEAK DR APT 204",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805388886",
"telephone_number": "970-663-1065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 S COLLEGE AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805244116",
"telephone_number": "907-663-1065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONNECT THERAPIES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-06",
"last_updated": "2015-12-06",
"status": "A",
"authorized_official_last_name": "BLEVINS",
"authorized_official_first_name": "SALLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-449-5485",
"authorized_official_credential": "MA LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "CO",
"license": "CO 0005972",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLROADO DEPT OF REGULATORY AGENCIES",
"identifier": "0005972",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.