Grand Junction Creative Therapies

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

GRAND JUNCTION CREATIVE THERAPIES

Practice address

2820 Keystone CT
Grand Junction, CO 81506-6011

Phone

(970) 201-8911

NPI assigned

Dec 28, 2018

Last updated

Dec 28, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miranda K Botts, LPCNPI 1871687491

Title

Owner

Phone

(970) 201-8911

Specialties & licenses 1

Addresses

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.

• Miranda K Botts, MA, LPC, LAC

  • Professional Counselor
  • Grand Junction, CO
  • NPI 1871687491
  NPD (past) Authorized official

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545955200000",
    "number": "1265904494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 KEYSTONE CT",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815066011",
            "telephone_number": "970-201-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 KEYSTONE CT",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815066011",
            "telephone_number": "970-201-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND JUNCTION CREATIVE THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-28",
        "last_updated": "2018-12-28",
        "status": "A",
        "authorized_official_last_name": "BOTTS",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-201-8911",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Graham, MSW
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• Grand Junction Chiropractic Center, P.C.
• Grand Junction Emergency Medical Group
• Grand Junction Endocrinology
• Grand Junction Endoscopy Center, Prof LLC
• Grand Junction Family Medicine PC
• Grand Junction Gastroenterology, PLLC

• Professional Counselor in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.