NPIMap

Organization Active NPI

Eagle Valley Counseling LLC

  • Community/Behavioral Health Agency
  • Edwards, CO
National Provider Identifier
1306004585
Registry record updated May 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1803 Issued in CO
Legal business name
EAGLE VALLEY COUNSELING LLC
Practice address
275 Main St
Suite 208
Edwards, CO 81632-7805
Phone
(970) 926-8196
Fax
(970) 926-8438
NPI assigned
May 24, 2008
Last updated
May 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2008

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

Authorized official

Name
Mr. Michael John Gahagan, LPC, CACIII, ADVP
Title
Owner/Director
Phone
(970) 926-8196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1803 CO Primary

Addresses

Primary practice location

275 Main St
Suite 208
Edwards, CO 81632-7805

Mailing address

275 Main St
Suite 208
Edwards, CO 81632-7805
Phone (970) 926-8196

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211587200000",
    "number": "1306004585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 MAIN ST",
            "address_2": "SUITE 208",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816327805",
            "telephone_number": "970-926-8196",
            "fax_number": "970-926-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MAIN ST",
            "address_2": "SUITE 208",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816327805",
            "telephone_number": "970-926-8196",
            "fax_number": "970-926-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE VALLEY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-24",
        "last_updated": "2008-05-24",
        "status": "A",
        "authorized_official_last_name": "GAHAGAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "970-926-8196",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, CACIII, ADVP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "1803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwards, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2008; 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.