Organization Active NPI

Evolve Child and Family Therapy

Doing business as Lea Reinbolt Cornell

  • Community/Behavioral Health Agency
  • Longmont, CO
National Provider Identifier
1316318892
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPCC.0013939 Issued in CO
Legal business name
EVOLVE CHILD AND FAMILY THERAPY
Doing business as
Lea Reinbolt Cornell
Practice address
2314 Judson St
Longmont, CO 80501-1015
Phone
(720) 737-7886
NPI assigned
Oct 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Authorized official

Name
Lea R Cornell, MA, LPC-C
Title
Child and Family Therapist
Phone
(720) 600-8733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LPCC.0013939 CO Primary

Addresses

Primary practice location

2314 Judson St
Longmont, CO 80501-1015

Mailing address

2314 Judson St
Longmont, CO 80501-1015
Phone (720) 737-7886

Other names 1

  • Lea Reinbolt Cornell Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1316318892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 JUDSON ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011015",
            "telephone_number": "720-737-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 JUDSON ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011015",
            "telephone_number": "720-737-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE CHILD AND FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "CORNELL",
        "authorized_official_first_name": "LEA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHILD AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "720-600-8733",
        "authorized_official_credential": "MA, LPC-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "LPCC.0013939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lea Reinbolt Cornell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.