Organization Active NPI

Personal Myth Counseling

  • Mental Health Counselor
  • Westminster, CO
National Provider Identifier
1295500049
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PERSONAL MYTH COUNSELING
Practice address
8791 Wolff CT
Westminster, CO 80031-3600
Phone
(970) 299-9183
NPI assigned
Nov 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Melissa Ivanna Martinez, LPCNPI 1215429626
Title
Therapist
Phone
(970) 299-9183

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary
Case Management Agency 251B00000X

Addresses

Primary practice location

8791 Wolff CT
Westminster, CO 80031-3600

Mailing address

8791 Wolff CT
Westminster, CO 80031-3600
Phone (970) 299-9183

Other identifiers 1

IdentifierTypeStateIssuer
9000185988MedicaidCO

National Provider Directory

National Provider Directory

Locations

8791 Wolff Ct
Westminster, CO 80031
Phone (970) 299-9183

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": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1295500049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8791 WOLFF CT",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800313600",
            "telephone_number": "970-299-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8791 WOLFF CT",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800313600",
            "telephone_number": "970-299-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL MYTH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "IVANNA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "970-299-9183",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000185988",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.