NPIMap

Organization Active NPI

My Therapy Matters LLC

  • Marriage & Family Therapist
  • Pueblo West, CO
National Provider Identifier
1255921995
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MY THERAPY MATTERS LLC
Practice address
445 S Laporte Dr
Pueblo West, CO 81007-1572
Phone
(719) 404-6618
NPI assigned
Jan 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Clive Russell Hallam, LMFTNPI 1811154321
Title
Chief Executive Officer
Phone
(719) 404-6618

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
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

445 S Laporte Dr
Pueblo West, CO 81007-1572

Mailing address

1094 S Greenway Dr
Pueblo West, CO 81007-5092
Phone (435) 817-0155

Other identifiers 1

IdentifierTypeStateIssuer
48800074MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
My Therapy Matters LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

19 E Abarr Dr
Pueblo West, CO 81007
Phone (435) 817-0155

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1255921995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1094 S GREENWAY DR",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810075092",
            "telephone_number": "435-817-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 S LAPORTE DR",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810071572",
            "telephone_number": "719-404-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY THERAPY MATTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "HALLAM",
        "authorized_official_first_name": "CLIVE",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "719-404-6618",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48800074",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo West, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.