Source Counseling and Contracting LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4255 Issued in CO

Legal business name

SOURCE COUNSELING AND CONTRACTING LLC

Practice address

9255 W Alameda Ave
Unit E
Lakewood, CO 80226-2802

Phone

(303) 994-0673

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Carolyn Anne Vaccarella, MA LPC

Title

Owner

Phone

(303) 994-0673

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1215158407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9255 W ALAMEDA AVE",
            "address_2": "UNIT E",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262802",
            "telephone_number": "303-994-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9255 W ALAMEDA AVE",
            "address_2": "UNIT E",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262802",
            "telephone_number": "303-994-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURCE COUNSELING AND CONTRACTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "VACCARELLA",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-994-0673",
        "authorized_official_credential": "MA LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "4255",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "4255",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.