Organization Active NPI

Sexual Assault Victim Advocate Center

  • Community/Behavioral Health Agency
  • Greeley, CO
National Provider Identifier
1174880314
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
13766 Issued in CO
Legal business name
SEXUAL ASSAULT VICTIM ADVOCATE CENTER
Practice address
326 52ND Ave
Greeley, CO 80634-4224
Phone
(970) 304-9520
NPI assigned
Apr 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Ms. Susanne Gaye Villarreal, MSW
Title
Therapist
Phone
(970) 304-9520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 13766 CO Primary

Addresses

Primary practice location

326 52ND Ave
Greeley, CO 80634-4224

Mailing address

326 52ND Ave
Greeley, CO 80634
Phone (970) 304-9520

National Provider Directory

National Provider Directory
Tax ID family
Sexual Assault Victim Advocate Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1174880314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 52ND AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80634",
            "telephone_number": "970-304-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 52ND AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344224",
            "telephone_number": "970-304-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEXUAL ASSAULT VICTIM ADVOCATE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_middle_name": "GAYE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "970-304-9520",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "13766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.