Active NPI
Integrated Insight Therapy, LLC
- Mental Health Counselor
- Delta, CO
National Provider Identifier
1124687553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- INTEGRATED INSIGHT THERAPY, LLC
- Practice address
- 555 Meeker St
Delta, CO 81416-1920 - Phone
- (970) 201-1467
- NPI assigned
- Jun 10, 2019
- 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
- Joel L Watts
- Title
- Ceo
- Phone
- (812) 304-6062
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
555 Meeker St
Delta, CO 81416-1920
Mailing address
543 Main St
Delta, CO 81416-1817
Phone (970) 201-1467
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000158170 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
250 Main St
Delta, CO 81416
543 Main St
Delta, CO 81416
Phone (970) 201-1467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687132800000",
"number": "1124687553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "543 MAIN ST",
"city": "DELTA",
"state": "CO",
"postal_code": "814161817",
"telephone_number": "970-201-1467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 MEEKER ST",
"city": "DELTA",
"state": "CO",
"postal_code": "814161920",
"telephone_number": "970-201-1467"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED INSIGHT THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-10",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A",
"authorized_official_last_name": "WATTS",
"authorized_official_first_name": "JOEL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "812-304-6062"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000158170",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delta, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.