Majestic Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MAJESTIC COUNSELING, LLC

Practice address

121 N Park Ave
Montrose, CO 81401-3768

Phone

(928) 813-5500

Fax

(970) 986-4106

NPI assigned

Mar 7, 2019

Organization subpart

No

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

Authorized official

Name

Alexis Baca-Spry, LPCNPI 1598194672

Title

Owner

Phone

(928) 813-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO, AZ2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  O20240223002632

  Same enrollment

Tax ID family

Majestic Counseling LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexis A Baca-Spry, M.A., LPC, NCC

  • Professional Counselor
  • Montrose, CO
  • NPI 1598194672

  AZ

  Medicare reassignment NPD Authorized official
• Denise Brennan, LCSW

  • Clinical Social Worker
  • Cottonwood, AZ
  • NPI 1548961048

  CO

  Medicare reassignment NPD

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1255899357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 877",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814020877",
            "telephone_number": "928-813-5500",
            "fax_number": "970-986-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N PARK AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013768",
            "telephone_number": "928-813-5500",
            "fax_number": "970-986-4106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4281 E Sandy Hollow Ln",
            "address_purpose": "LOCATION",
            "city": "Cottonwood",
            "state": "AZ",
            "postal_code": "863265600",
            "country_code": "US",
            "telephone_number": "928-813-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 N Beaver St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860013103",
            "country_code": "US",
            "telephone_number": "928-813-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAJESTIC COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "BACA-SPRY",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-813-5500",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000179119",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Maddy
• Jenina T Madrid, MS, NCC
• Ulises Madrigal Jr.
• Kay Magruder, RDH, OMT
• Main Street Chiropractic
• Elizabeth L Malloy, CRNA
• Dori Jeanne Malone, DN, RN
• Kristin Ellin Mann, MS CCC SLP
• Marcia M. Middel
• Erin McMahon Marcinek

• Professional Counselor in Montrose, CO
• Providers in Montrose, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.