Altitude Iop, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0717001173 Issued in VA

Legal business name

ALTITUDE IOP, LLC

Practice address

708 S Main St
Blacksburg, VA 24060-5210

Phone

(540) 953-5090

Fax

(540) 953-5095

NPI assigned

May 26, 2015

Last updated

May 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karla Soukup, LMFT

Title

Program Therapist

Phone

(540) 953-5090

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Mellowspring, MS,RD,CEDRD

  • Registered Dietitian
  • Blacksburg, VA
  • NPI 1881136612

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1033598982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 S MAIN ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240605210",
            "telephone_number": "540-953-5090",
            "fax_number": "540-953-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S MAIN ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240605210",
            "telephone_number": "540-953-5090",
            "fax_number": "540-953-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTITUDE IOP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "SOUKUP",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "PROGRAM THERAPIST",
        "authorized_official_telephone_number": "540-953-5090",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001173",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "953736",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fiona Allen, CTRS
• Katie Jean Allen, ARNP
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• Kelsey Jo Alt, P.A.-C.
• Alternatives Center, Inc.
• Catherine Hamilton Altizer
• Judy Marie Altizer, FNP
• Tommy Mikal Amal
• Amedisys Home Health, Inc. of Virginia (Amedisys Home Health of Blacksburg)
• Nida Amir

• Marriage & Family Therapist in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Marriage & Family Therapist in Virginia

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