NPIMap

Organization Active NPI

Growth Unlimited Professional LLC

  • Psychologist
  • Fort Collins, CO
National Provider Identifier
1194055186
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1807 Issued in CO
Legal business name
GROWTH UNLIMITED PROFESSIONAL LLC
Practice address
1856 Michael LN Apt 1
Fort Collins, CO 80526-1698
Phone
(970) 416-0828
Fax
(970) 207-0828
NPI assigned
Jan 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Authorized official

Name
Joan Rawlings Welsh, PHD
Title
Owner
Phone
(970) 416-0828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 1807 CO Primary

Addresses

Primary practice location

1856 Michael LN Apt 1
Fort Collins, CO 80526-1698

Mailing address

1856 Michael LN Apt 1
Fort Collins, CO 80526-1698
Phone (970) 416-0828

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1194055186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1856 MICHAEL LN APT 1",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261698",
            "telephone_number": "970-416-0828",
            "fax_number": "970-207-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1856 MICHAEL LN APT 1",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261698",
            "telephone_number": "970-416-0828",
            "fax_number": "970-207-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWTH UNLIMITED PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "WELSH",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "RAWLINGS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-416-0828",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CO",
            "license": "1807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.