Anchored by Grace Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ANCHORED BY GRACE COUNSELING, LLC

Practice address

4435 Ronald Reagan Blvd
Johnstown, CO 80534-6566

Phone

(970) 310-7706

NPI assigned

Jul 29, 2024

Last updated

Sep 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Geneane Lazo, LPCNPI 1194223529

Title

Owner

Phone

(970) 310-7706

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Geneane Lazo, LPC

  • Professional Counselor
  • Johnstown, CO
  • NPI 1194223529
  NPD Authorized official

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1144059296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 HAHNS PEAK DR APT 101",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805386034",
            "telephone_number": "225-715-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 RONALD REAGAN BLVD",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805346566",
            "telephone_number": "970-310-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORED BY GRACE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "LAZO",
        "authorized_official_first_name": "GENEANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-310-7706",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Johnstown, CO
• Providers in Johnstown, CO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.