Mountain Mind Therapy LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MOUNTAIN MIND THERAPY LLC

Practice address

610 Main St
Frisco, CO 80443-5487

Phone

(970) 306-6760

NPI assigned

Jun 20, 2025

Last updated

Jun 20, 2025By 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

Jacqueline Black, MA, LPCC

Title

LPCC

Phone

(970) 306-6760

Specialties & licenses 1

Addresses

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.

• Jacqueline Burns

  • Professional Counselor
  • Breckenridge, CO
  • NPI 1689560682
  NPD

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

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1114814209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6463",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804246463",
            "telephone_number": "207-807-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 MAIN ST",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804435487",
            "telephone_number": "970-306-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN MIND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "LPCC",
        "authorized_official_telephone_number": "970-306-6760",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adele R. Morano, MD
• Vernon E Morgan, DDS
• Alicia Moroyoqui, LCSW, LAC
• Brianna Nicole Morris
• Lynne M Mosbaugh, RN
• Mountain Rose Oriental Medicine
• Mountain States Pathology
• Mountain Therapy
• Mountain View Surgical Associates-Summit, PC
• Diane Agnes Mrkvicka, R.N.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.