Active NPI
Marilyn Gay Crowther
- Addiction (Substance Use Disorder) Counselor
- La Jara, CO
National Provider Identifier
1205038833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 6464
- Practice address
- 401 Main Street
La Jara, CO 81140 - Phone
- (719) 992-4260
- NPI assigned
- Jun 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6464 | CO | Primary |
Addresses
Primary practice location
401 Main Street
La Jara, CO 81140
Mailing address
14385 County Road P
La Jara, CO 81140-9584
Phone (719) 992-4260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6464 | CO | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valentine Center for Family Therapy | Past | Accepting new patients | |
| Valentine Counseling Center PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Marriage & Family Therapist
- La Jara, CO
- NPI 1992251243
-
- Marriage & Family Therapist
- La Jara, CO
- NPI 1578258950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493856000000",
"number": "1205038833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14385 COUNTY ROAD P",
"city": "LA JARA",
"state": "CO",
"postal_code": "811409584",
"telephone_number": "719-992-4260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 MAIN STREET",
"city": "LA JARA",
"state": "CO",
"postal_code": "81140",
"telephone_number": "719-992-4260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWTHER",
"first_name": "MARILYN",
"middle_name": "GAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-05",
"last_updated": "2017-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "6464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jara, CO
- Conejos County Government (Conejos County EMS)
- Conejos County Hospital Corporation
- Conejos County Hospital Corporation (Long Term Care Unit)
- Conejos County Hospital Corporation Long Term Care Unit
- Conejos County Public Health and Nursing Services (Conejos County Nursing Service)
- Healthone Clinic Services - Orthopedic Specialists LLC
- Healthone Clinic Services-Surgical Specialties LLC (Advanced Laproscoic and General Surgery)
- Healthone Heart Care LLC
- Colin James Henderson, MD
- Grant Allen Hurley, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.