Active NPI
Grand Valley Equine Assisted Learning Center
- Professional Counselor
- Grand Junction, CO
National Provider Identifier
1124475132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC0012779
- Legal business name
- GRAND VALLEY EQUINE ASSISTED LEARNING CENTER
- Practice address
- 979 25 Rd
Grand Junction, CO 81505-9778 - Phone
- (970) 216-8723
- NPI assigned
- May 19, 2016
- 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
- Jay D. Muller
- Title
- Co-Fouinder
- Phone
- (970) 216-8723
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC0012779 | CO | Primary |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 8986 | CO |
Addresses
Primary practice location
979 25 Rd
Grand Junction, CO 81505-9778
Mailing address
PO Box 308
Fruita, CO 81521-0308
Phone (970) 216-8723
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Grand Junction, CO
- NPI 1881147387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463616000000",
"number": "1124475132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 308",
"city": "FRUITA",
"state": "CO",
"postal_code": "815210308",
"telephone_number": "970-216-8723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "979 25 RD",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815059778",
"telephone_number": "970-216-8723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAND VALLEY EQUINE ASSISTED LEARNING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-19",
"last_updated": "2016-05-19",
"status": "A",
"authorized_official_last_name": "MULLER",
"authorized_official_first_name": "JAY D.",
"authorized_official_title_or_position": "CO-FOUINDER",
"authorized_official_telephone_number": "970-216-8723"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC0012779",
"primary": true
},
{
"code": "225XP0019X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "CO",
"license": "8986",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
- Grand Valley Behavior Services and Consulting
- Grand Valley Behavior Services and Consulting
- Grand Valley Birth Center LLC
- Grand Valley Counseling LLC
- Grand Valley Counseling Services, LLC
- Grand Valley Foot & Ankle Center PC
- Grand Valley Imaging Center LLC
- Grand Valley Internal Medicine, Associates
- Grand Valley Neurology Prof LLC
- Grand Valley Ocular Anesthesia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.