Therapy Works

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4842 Issued in CO

Legal business name

THERAPY WORKS

Practice address

315 Colorado Ave
Pueblo, CO 81004-2046

Phone

(719) 469-0716

Fax

(719) 583-0554

NPI assigned

Aug 17, 2015

Last updated

Aug 17, 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

Geri Wagner, LPC

Title

Owner and Provider

Phone

(719) 469-0716

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1063888766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 COLORADO AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042046",
            "telephone_number": "719-469-0716",
            "fax_number": "719-583-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 COLORADO AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042046",
            "telephone_number": "719-469-0716",
            "fax_number": "719-583-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY WORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "GERI",
        "authorized_official_title_or_position": "OWNER AND PROVIDER",
        "authorized_official_telephone_number": "719-469-0716",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "4842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205951043",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.