Active NPI
Paige Michal Marvin
- Professional Counselor
- Collbran, CO
National Provider Identifier
1003352972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPCC.0015922
- Practice address
- 4051 Pinion St.
Collbran, CO 81624-0193 - Phone
- (970) 487-0259
- NPI assigned
- Jan 16, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPCC.0015922 | CO | Primary |
Addresses
Primary practice location
4051 Pinion St.
Collbran, CO 81624-0193
Mailing address
PO Box 193
Collbran, CO 81624-0193
Phone (970) 487-0259
Other practice location 1
515 28 3/4 Rd
Grand Junction, CO 81501-5016
Phone (970) 241-6023
Other names 1
- Paige Michal Bristol
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC.0015922 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527811200000",
"number": "1003352972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 193",
"city": "COLLBRAN",
"state": "CO",
"postal_code": "816240193",
"telephone_number": "970-487-0259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4051 PINION ST.",
"city": "COLLBRAN",
"state": "CO",
"postal_code": "816240193",
"telephone_number": "970-487-0259"
}
],
"practiceLocations": [
{
"address_1": "515 28 3/4 Rd",
"address_purpose": "LOCATION",
"city": "Grand Junction",
"state": "CO",
"postal_code": "815015016",
"country_code": "US",
"telephone_number": "970-241-6023",
"fax_number": "970-242-8330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARVIN",
"first_name": "PAIGE",
"middle_name": "MICHAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-16",
"last_updated": "2018-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPCC.0015922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAIGE",
"last_name": "BRISTOL",
"middle_name": "MICHAL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Collbran, CO
- Erin M Arthur, MD
- Deborah Nicole Borrego, RN, FNP-BC, ACNPC-AG
- Samantha Danks, PMHNP-BC
- Beth Lynn Hedstrom, AGACNP-BC FNP-BC APN
- Juniper West Counseling, Inc.
- Monument Physical Therapy LLC
- Plateau Valley Hospital District
- Plateau Valley Skchool District 50
- Scott E Rollins, MD
- Zacharri William Trujillo, CAREGIVER,QMAP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.