Organization Active NPI

Benjamin White Psychotherapy, PLLC

  • Community/Behavioral Health Agency
  • Lafayette, CO
National Provider Identifier
1265941595
Registry record updated Sep 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CSW.09924471 Issued in CO
Legal business name
BENJAMIN WHITE PSYCHOTHERAPY, PLLC
Practice address
601 S Longmont Ave
Lafayette, CO 80026-1539
Phone
(970) 281-7727
NPI assigned
Sep 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2017

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

Authorized official

Name
Benjamin White, LCSWNPI 1053967596
Title
Owner/Member
Phone
(970) 281-7727

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
Community/Behavioral Health Agency 251S00000X CSW.09924471 CO Primary

Addresses

Primary practice location

601 S Longmont Ave
Lafayette, CO 80026-1539

Mailing address

601 S Longmont Ave
Lafayette, CO 80026-1539

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506643200000",
    "number": "1265941595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S LONGMONT AVE",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800261539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S LONGMONT AVE",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800261539",
            "telephone_number": "970-281-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN WHITE PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-29",
        "last_updated": "2017-09-29",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "970-281-7727",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "CSW.09924471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; 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.