Turquoise Trail Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TURQUOISE TRAIL THERAPY LLC

Practice address

1191 Canon Ridge Rd
Canon City, CO 81212-9163

Phone

(719) 276-2550

NPI assigned

Feb 9, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Anna Shorter-King, LCSWNPI 1487034708

Title

Managing Member

Phone

(719) 276-2550

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Anna Shorter-King, MSW

  • Clinical Social Worker
  • Canon City, CO
  • NPI 1487034708
  NPD Authorized official

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1124725130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 CANON RIDGE RD",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129163",
            "telephone_number": "719-276-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 CANON RIDGE RD",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129163",
            "telephone_number": "719-276-2550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "729 Main St",
            "address_purpose": "LOCATION",
            "city": "Canon City",
            "state": "CO",
            "postal_code": "812123738",
            "country_code": "US",
            "telephone_number": "719-276-2550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TURQUOISE TRAIL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "SHORTER-KING",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "719-276-2550",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Ann Trujillo, LPN
• Sarai Trujillo
• Susan Michele Trujillo, REGISTERED MIDWIFE
• Joseph Lee Trygstad, MA
• Barbara Turner
• Linda Kay Uhland, RN
• Kacy Ulam
• Usacs Observation Medicine Services of Colorado Inc.
• Usacs of Colorado Inc
• Valley View Care Center LLC

• Clinical Social Worker in Canon City, CO
• Providers in Canon City, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.