Organization Active NPI

Integrated Insight Therapy, LLC

  • Mental Health Counselor
  • Delta, CO
National Provider Identifier
1124687553
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Jun 19, 2023

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
9000158170MedicaidCO

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.