Organization Active NPI

Third Ear Counseling, LLC

  • Professional Counselor
  • Salida, CO
National Provider Identifier
1053762203
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4647 Issued in CO
Legal business name
THIRD EAR COUNSELING, LLC
Practice address
448 E 1St St Ste 208
Salida, CO 81201-2804
Phone
(719) 966-8099
NPI assigned
Jun 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Authorized official

Name
Laura Dickson
Title
Owner, LPC
Phone
(719) 966-8099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 4647 CO Primary

Addresses

Primary practice location

448 E 1St St Ste 208
Salida, CO 81201-2804

Mailing address

PO Box 475
Salida, CO 81201-0475

National Provider Directory

National Provider Directory

Locations

448 E 1st St
Ste 208
Salida, CO 81201
Phone (719) 966-8099

Practitioners & affiliated clinicians

Practitioners 1

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": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1053762203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 475",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812010475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 E 1ST ST STE 208",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012804",
            "telephone_number": "719-966-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD EAR COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER, LPC",
        "authorized_official_telephone_number": "719-966-8099"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "4647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salida, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.