Organization Active NPI

Meaning- Centered Emdr, Inc.

  • Professional Counselor
  • Grand Junction, CO
National Provider Identifier
1215400759
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MEANING- CENTERED EMDR, INC.
Practice address
2350 G Rd Ste 2
Grand Junction, CO 81505-2303
Phone
(970) 697-7995
Fax
(833) 490-1313
NPI assigned
Jan 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Mac Fish, LPCNPI 1003344094
Title
Owner
Phone
(970) 697-7995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2350 G Rd Ste 2
Grand Junction, CO 81505-2303

Mailing address

2350 G Rd Ste 2
Grand Junction, CO 81505-2303
Phone (970) 697-7995

National Provider Directory

National Provider Directory

Locations

622 Rood Ave
Unit C
Grand Junction, CO 81501

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1215400759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 G RD STE 2",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815052303",
            "telephone_number": "970-697-7995",
            "fax_number": "833-490-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 G RD STE 2",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815052303",
            "telephone_number": "970-697-7995",
            "fax_number": "833-490-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEANING- CENTERED EMDR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "MAC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-697-7995",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.