Organization Active NPI

Connect Therapies PLLC

  • Professional Counselor
  • Fort Collins, CO
National Provider Identifier
1003281791
Registry record updated Dec 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CO 0005972 Issued in CO
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

Updated by the provider on Dec 6, 2015

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0005972OtherCOCOLROADO DEPT OF REGULATORY AGENCIES

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.