Organization Active NPI

Marriage & Family Therapy Services Inc

  • Mental Health Counselor
  • Peyton, CO
National Provider Identifier
1073393419
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MARRIAGE & FAMILY THERAPY SERVICES INC
Practice address
7495 McLaughlin Rd Ste 200
Peyton, CO 80831-4714
Phone
(719) 332-3394
Fax
(719) 886-4793
NPI assigned
Oct 3, 2023
Last updated
Feb 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Holly Gray, LMFTNPI 1689864670
Title
President/Therapist
Phone
(719) 332-3394

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Mental Health Counselor 101YM0800X NU Primary
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

7495 McLaughlin Rd Ste 200
Peyton, CO 80831-4714

Mailing address

11417 Cranston Dr
Peyton, CO 80831-6869
Phone (719) 332-3394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240212000389 CO Part B Supplier - Clinic/Group Practice 9931542529 Receives reassigned benefits from 1 practitioner
Practice locations: Peyton, CO

National Provider Directory

National Provider Directory

Locations

7495 McLaughlin Rd
Ste 200
Peyton, CO 80831
Phone (719) 332-3394

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1073393419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11417 CRANSTON DR",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808316869",
            "telephone_number": "719-332-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7495 MCLAUGHLIN RD STE 200",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808314714",
            "telephone_number": "719-332-3394",
            "fax_number": "719-886-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRIAGE & FAMILY THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "PRESIDENT/THERAPIST",
        "authorized_official_telephone_number": "719-332-3394",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peyton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.