Organization Active NPI

Community Solutions, Limited Liability Company

  • Addiction (Substance Use Disorder) Counselor
  • Fort Morgan, CO
National Provider Identifier
1134672017
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1771-02 Issued in CO
Legal business name
COMMUNITY SOLUTIONS, LIMITED LIABILITY COMPANY
Practice address
219 E Railroad Ave
Fort Morgan, CO 80701-3134
Phone
(303) 834-9369
Fax
(303) 834-9396
NPI assigned
Jul 27, 2016
Last updated
Aug 11, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY SOLUTIONS, LIMITED LIABILITY COMPANYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Authorized official

Name
Ms. Mary Ann Ursich, LAC
Title
Director/Owner
Phone
(303) 834-9369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1771-02 CO Primary

Addresses

Primary practice location

219 E Railroad Ave
Fort Morgan, CO 80701-3134

Mailing address

219 E Railroad Ave
Fort Morgan, CO 80701-3134
Phone (303) 834-9369

National Provider Directory

National Provider Directory
Tax ID family
Community Solutions Limited Liability Company2 organizations share this tax ID, including this one
Part of
Community Solutions Limited Liability Company

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

219 E Railroad Ave
Fort Morgan, CO 80701
Phone (303) 834-9369

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1134672017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E RAILROAD AVE",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013134",
            "telephone_number": "303-834-9369",
            "fax_number": "303-834-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E RAILROAD AVE",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013134",
            "telephone_number": "303-834-9369",
            "fax_number": "303-834-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SOLUTIONS, LIMITED LIABILITY COMPANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY SOLUTIONS, LIMITED LIABILITY COMPANY",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "URSICH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "303-834-9369",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "1771-02",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Morgan, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.