Comprehensive Child Counseling & Assessment, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0107323 Issued in CO

Legal business name

COMPREHENSIVE CHILD COUNSELING & ASSESSMENT, LLC

Practice address

495 Uinta Way
Suite 120
Denver, CO 80230-7110

Phone

(303) 344-4100

Fax

(303) 484-3575

NPI assigned

Mar 1, 2017

Last updated

Mar 1, 2017By 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

Ms. Alexandra Becker

Title

Registered Psychotherapist

Phone

(201) 213-9909

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1316487937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 UINTA WAY",
            "address_2": "SUITE 120",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307110",
            "telephone_number": "303-344-4100",
            "fax_number": "303-484-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 UINTA WAY",
            "address_2": "SUITE 120",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307110",
            "telephone_number": "303-344-4100",
            "fax_number": "303-484-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CHILD COUNSELING & ASSESSMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "REGISTERED PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "201-213-9909",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0107323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.