Active NPI
Philip Jonathan Maes, M.A., LMFT
- Marriage & Family Therapist
- Salida, CO
National Provider Identifier
1205228541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT 355
- Practice address
- 13 Silver Spruce Dr
Salida, CO 81201-9483 - Phone
- (719) 530-1224
- NPI assigned
- Feb 24, 2015
- Last updated
- Feb 24, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT 355 | CO | Primary |
Addresses
Primary practice location
13 Silver Spruce Dr
Salida, CO 81201-9483
Mailing address
PO Box 1015
Salida, CO 81201-1015
Phone (719) 530-1224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 G St
Salida, CO 81201-2030
Phone (719) 530-1224
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 355 | CO | MD | Clinical Social Worker |
| LMFT 355 | CO | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karis Counseling, Inc. | Marriage & Family Therapist | Current | Accepting new patients |
Locations
123 G St
Salida, CO 81201
Phone (719) 530-1224
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- Salida, CO
- NPI 1417405598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424736000000",
"number": "1205228541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1015",
"city": "SALIDA",
"state": "CO",
"postal_code": "812011015",
"telephone_number": "719-530-1224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 SILVER SPRUCE DR",
"city": "SALIDA",
"state": "CO",
"postal_code": "812019483",
"telephone_number": "719-530-1224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAES",
"first_name": "PHILIP",
"middle_name": "JONATHAN",
"credential": "M.A., LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-24",
"last_updated": "2015-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "LMFT 355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salida, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.