Organization Active NPI

Mountain Vista Psychology, PLLC

Doing business as Mountain Vista Psychology

  • Mental Health Counselor
  • Littleton, CO
National Provider Identifier
1003490988
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MOUNTAIN VISTA PSYCHOLOGY, PLLC
Doing business as
Mountain Vista Psychology
Practice address
7325 S Pierce St # 203E-103
Littleton, CO 80128-4553
Phone
(720) 583-9332
NPI assigned
May 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Mrs. Tara McConnell
Title
Office Manager
Phone
(720) 583-9332

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X

Addresses

Primary practice location

7325 S Pierce St # 203E-103
Littleton, CO 80128-4553

Mailing address

88 Inverness Cir E Unit E103
Englewood, CO 80112-5511
Phone (720) 583-9332

Other identifiers 1

IdentifierTypeStateIssuer
9000166965MedicaidCO

Other names 1

  • Mountain Vista Psychology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mountain Vista Psychology PLLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7325 S Pierce St
#203E103
Littleton, CO 80128
Phone (720) 583-9332

7325 S Pierce St
Ste 203
Littleton, CO 80128
Phone (720) 334-7369

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1003490988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 INVERNESS CIR E UNIT E103",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125511",
            "telephone_number": "720-583-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 S PIERCE ST # 203E-103",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801284553",
            "telephone_number": "720-583-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VISTA PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "720-583-9332",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000166965",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Vista Psychology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mountain Vista Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.