Credentialed Counseling Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CREDENTIALED COUNSELING SERVICES LLC

Practice address

1711 61St Ave Ste 206
Greeley, CO 80634-3049

Phone

(970) 599-1820

NPI assigned

Nov 12, 2024

Organization subpart

No

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

Authorized official

Name

Ethan Bratt, MSNPI 1699001255

Title

Member

Phone

(360) 689-5965

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.

• Ethan Linnell Bratt, MS, LMFT, CST

  • Marriage & Family Therapist
  • Greeley, CO
  • NPI 1699001255
  NPD Authorized official

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1184448516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 102ND AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349058",
            "telephone_number": "360-689-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 61ST AVE STE 206",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343049",
            "telephone_number": "970-599-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREDENTIALED COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "BRATT",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "360-689-5965",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Lynn Crawford
• Bryce Crawford
• La Rae Crawford, LPCC
• Steven Ryan Cray
• Jackson Mackenzie Creamer, B.A.
• Gregory S Creed, MA, LPC
• Carletta Estelle Creekmore, MA
• David Lee Crespin
• Michael J Crews, M.D.
• Samantha Grace Crimmins, MA, CCC-SLP

• Mental Health Counselor in Greeley, CO
• Providers in Greeley, CO by specialty
• Mental Health Counselor in Colorado

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