Organization Active NPI

Credo Counseling

  • Mental Health Counselor
  • Grand Junction, CO
National Provider Identifier
1013302074
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2182 Issued in SD
Legal business name
CREDO COUNSELING
Practice address
215 Pitkin Ave Ste 102
Grand Junction, CO 81501-7805
Phone
(970) 986-8668
Fax
(970) 986-8586
NPI assigned
Apr 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Carleen Michelle Bryant, LPCMHNPI 1750516647
Title
Clinical Therapist
Phone
(970) 986-8668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 2182 SD Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

215 Pitkin Ave Ste 102
Grand Junction, CO 81501-7805

Mailing address

215 Pitkin Ave Ste 102
Grand Junction, CO 81501-7805
Phone (970) 986-8668

Other practice location 1

4828 E 57th St Ste 3
Sioux Falls, SD 57108-8643
Phone (970) 986-8668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230211000275 CO Part B Supplier - Clinic/Group Practice 8527374222 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Junction, CO

National Provider Directory

National Provider Directory

Locations

1003 Main St
Ste 303
Grand Junction, CO 81501
Phone (970) 623-0455

215 Pitkin Ave
Ste 102
Grand Junction, CO 81501
Phone (907) 986-8668

5024 S Bur Oak Pl
Ste 212
Sioux Falls, SD 57108
Phone (605) 275-2001

4828 E 57th St
Ste 3
Sioux Falls, SD 57108
Phone (970) 986-8668

Practitioners & affiliated clinicians

Practitioners 3

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": "1428278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1013302074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 PITKIN AVE STE 102",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017805",
            "telephone_number": "970-986-8668",
            "fax_number": "970-986-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 PITKIN AVE STE 102",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017805",
            "telephone_number": "970-986-8668",
            "fax_number": "970-986-8586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4828 E 57th St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571088643",
            "country_code": "US",
            "telephone_number": "970-986-8668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREDO COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-06",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "CARLEEN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "970-986-8668",
        "authorized_official_credential": "LPCMH"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "2182",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.