Organization Active NPI

Colorado Center for Counseling and Psychotherapy LLC

  • Professional Counselor
  • Longmont, CO
National Provider Identifier
1184035248
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
COLORADO CENTER FOR COUNSELING AND PSYCHOTHERAPY LLC
Practice address
1479 Lincoln Cir
Longmont, CO 80501-1879
Phone
(303) 776-6376
NPI assigned
May 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Authorized official

Name
Miss Phyllis Tainey, LCSW, CAC IIINPI 1215045497
Title
Owner
Phone
(303) 776-6376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

1479 Lincoln Cir
Longmont, CO 80501-1879

Mailing address

1479 Lincoln Cir
Longmont, CO 80501-1879
Phone (303) 776-6376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140825000236 CO Part B Supplier - Clinic/Group Practice 5092933630 Receives reassigned benefits from 1 practitioner
Practice locations: Boulder, CO; Denver, CO; Longmont, CO

National Provider Directory

National Provider Directory

Locations

1800 30th St
Ste 301
Boulder, CO 80301
Phone (303) 444-3661

1776 S Jackson St
Ste 211
Denver, CO 80210
Phone (303) 776-6376

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1184035248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 LINCOLN CIR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011879",
            "telephone_number": "303-776-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1479 LINCOLN CIR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011879",
            "telephone_number": "303-776-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO CENTER FOR COUNSELING AND PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "TAINEY",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-776-6376",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW, CAC III"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.