NPIMap

Organization Active NPI

The Parent-Child Interaction Center LLC

  • Marriage & Family Therapist
  • Fort Collins, CO
National Provider Identifier
1306090758
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
806 Issued in CO
Legal business name
THE PARENT-CHILD INTERACTION CENTER LLC
Practice address
375 E Horsetooth Rd
BLDG 3 Suite 101
Fort Collins, CO 80525-3155
Phone
(970) 472-1207
Fax
(970) 493-1305
NPI assigned
Nov 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Authorized official

Name
Mrs. Sarah Therese Carlson, LMFTNPI 1720264732
Title
Owner/Therapist
Phone
(970) 472-1207

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 4838 CO
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 806 CO Primary

Addresses

Primary practice location

375 E Horsetooth Rd
BLDG 3 Suite 101
Fort Collins, CO 80525-3155

Mailing address

375 E Horsetooth Rd
BLDG 3 Suite 101
Fort Collins, CO 80525-3155
Phone (970) 472-1207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240716003689 CO Part B Supplier - Clinic/Group Practice 3274078019 Receives reassigned benefits from 10 practitioners
Practice locations: Fort Collins, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1306090758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 E HORSETOOTH RD",
            "address_2": "BLDG 3 SUITE 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253155",
            "telephone_number": "970-472-1207",
            "fax_number": "970-493-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 E HORSETOOTH RD",
            "address_2": "BLDG 3 SUITE 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253155",
            "telephone_number": "970-472-1207",
            "fax_number": "970-493-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PARENT-CHILD INTERACTION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-12",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "970-472-1207",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "4838",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.