Rugged Cross Miracle Ranch

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1076 Issued in CO

Legal business name

RUGGED CROSS MIRACLE RANCH

Practice address

13990 Windy Pine Dr
Elbert, CO 80106

Phone

(719) 327-0656

Fax

(719) 327-0657

NPI assigned

Aug 3, 2017

Last updated

Nov 20, 2023By 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

Deborah L Dewitt, LMFTNPI 1588111926

Title

Vice President

Phone

(719) 327-0656

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Deborah L Dewitt, LMFT

  • Marriage & Family Therapist
  • Elbert, CO
  • NPI 1588111926
  Authorized official Same address or phone

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1295250900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13990 WINDY PINE DR",
            "city": "ELBERT",
            "state": "CO",
            "postal_code": "801068874",
            "telephone_number": "719-327-0656",
            "fax_number": "719-327-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13990 WINDY PINE DR",
            "city": "ELBERT",
            "state": "CO",
            "postal_code": "80106",
            "telephone_number": "719-327-0656",
            "fax_number": "719-327-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUGGED CROSS MIRACLE RANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "DEWITT",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "719-327-0656",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "1076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DO NOT HAVE ANY ADDITIONAL PROVIDER ID'S",
            "identifier": "0000000000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sheila Robinson, MA LPC
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• Lise St Amant, M.A.
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• Steven Lyle Wright, LCSW

• Marriage & Family Therapist in Elbert, CO
• Providers in Elbert, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.