Mountain Vista Psychology, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MOUNTAIN VISTA PSYCHOLOGY, PLLC

Practice address

88 Inverness Cir E Ste 103
Englewood, CO 80112-5304

Phone

(720) 583-9332

Fax

(720) 213-4084

NPI assigned

Sep 24, 2018

Last updated

Jul 26, 2023By 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

Mrs. Tara McConnell

Title

Office Manager

Phone

(720) 583-9332

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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.

• Mountain Vista Psychology

  • Mental Health Counselor
  • Littleton, CO
  • NPI 1720870215
  NPD tax ID
• Mountain Vista Psychology, PLLC

  dba Mountain Vista Psychology

  • Mental Health Counselor
  • Littleton, CO
  • NPI 1003490988
  NPD tax ID
• Mountain Vista Psychology, PLLC

  • Mental Health Counselor
  • Greenwood Village, CO
  • NPI 1093315764
  NPD tax ID
• Mountain Vista Psychology, PLLC

  • Mental Health Counselor
  • Englewood, CO
  • NPI 1447134838
  NPD tax ID
• Mountain Vista Psychology, PLLC

  • Mental Health Counselor
  • Denver, CO
  • NPI 1487441846
  NPD tax ID

Locations

Practitioners 4

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.

• Steffanie Anne Stecker, PHD

  • Psychologist
  • Monument, CO
  • NPI 1942506316
  Medicare reassignment NPD
• Heidi Kathleen Bonilla, LPCC

  • Counselor
  • Wheat Ridge, CO
  • NPI 1891243572
  NPD (past)
• Megan Anne Garay, PSYD

  • Psychologist
  • Littleton, CO
  • NPI 1184455404
  NPD (past)
• Danielle Rose Rabinovich, MA, LPC

  • Mental Health Counselor
  • Englewood, CO
  • NPI 1659892131
  NPD (past)

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1033693171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 FAWNWOOD RD",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329550",
            "telephone_number": "720-934-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 INVERNESS CIR E STE 103",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125304",
            "telephone_number": "720-583-9332",
            "fax_number": "720-213-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VISTA PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "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": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmcconnell@mountainvistapsychology.com",
            "affiliation": "N",
            "endpointDescription": "business secure email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "all business corespondence",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "patient information",
            "address_1": "88 Inverness Cir E Ste 103",
            "city": "Englewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801125304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Englewood, CO
• Providers in Englewood, CO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado

• 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.
• 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.