Organization Active NPI

Marta Puchalla, LMFT, PC

  • Marriage & Family Therapist
  • Colorado Springs, CO
National Provider Identifier
1023564580
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT0000378 Issued in CO
Legal business name
MARTA PUCHALLA, LMFT, PC
Practice address
1751 S 8TH St
Colorado Springs, CO 80905-1926
Phone
(719) 471-1816
Fax
(719) 471-9987
NPI assigned
Aug 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Authorized official

Name
Ms. Marta Puchalla, LMFT
Title
Owner
Phone
(719) 205-1865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFT0000378 CO Primary

Addresses

Primary practice location

1751 S 8TH St
Colorado Springs, CO 80905-1926

Mailing address

1751 S 8TH St
Colorado Springs, CO 80905-1926
Phone (719) 471-1816

Other identifiers 1

IdentifierTypeStateIssuer
106455MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Marta Puchalla LMFT PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1023564580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 S 8TH ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051926",
            "telephone_number": "719-471-1816",
            "fax_number": "719-471-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 S 8TH ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051926",
            "telephone_number": "719-471-1816",
            "fax_number": "719-471-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTA PUCHALLA, LMFT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "PUCHALLA",
        "authorized_official_first_name": "MARTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-205-1865",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT0000378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106455",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.