Active NPI
Marriage & Family Therapy Services Inc
- Mental Health Counselor
- Peyton, CO
National Provider Identifier
1073393419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Holly Gray, LMFT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Peyton, CO
- NPI 1689864670
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.