Organization Active NPI

Grand Valley Wellness, LLC

  • Mental Health Counselor
  • Delta, CO
National Provider Identifier
1225760671
Registry record updated Aug 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GRAND VALLEY WELLNESS, LLC
Practice address
300 Stafford LN Ste 30248
Delta, CO 81416-2247
Phone
(970) 399-5990
Fax
(970) 399-9323
NPI assigned
Jun 24, 2022
Last updated
Aug 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2025

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

Authorized official

Name
Dr. Laura Anne Blair, PHD, LPCNPI 1184995532
Title
Owner
Phone
(970) 414-0707

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

300 Stafford LN Ste 30248
Delta, CO 81416-2247

Mailing address

300 Stafford LN Ste 30248
Delta, CO 81416-2247
Phone (970) 399-5990

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL drlaura@gvwellness.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240415002458 CO Part B Supplier - Clinic/Group Practice 4587003223 Receives reassigned benefits from 1 practitioner
Practice locations: Delta, CO

National Provider Directory

National Provider Directory

Locations

300 Stafford Ln
Ste 30248
Delta, CO 81416
Phone (970) 399-5990

175 Columbine Ct
Unit 1
Parachute, CO 81635

Practitioners & affiliated clinicians

Practitioners 2

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": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755302400000",
    "number": "1225760671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STAFFORD LN STE 30248",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814162247",
            "telephone_number": "970-399-5990",
            "fax_number": "970-399-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STAFFORD LN STE 30248",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814162247",
            "telephone_number": "970-399-5990",
            "fax_number": "970-399-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND VALLEY WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2025-08-16",
        "certification_date": "2025-08-16",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-414-0707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "drlaura@gvwellness.net",
            "affiliation": "N",
            "address_1": "175 Columbine Ct Unit 1",
            "city": "Parachute",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816357601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Delta, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.