Integrative Balance Psychotherapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

INTEGRATIVE BALANCE PSYCHOTHERAPY

Practice address

1136 E Stuart St Ste 2240
Fort Collins, CO 80525-5315

Phone

(970) 238-0268

NPI assigned

Oct 21, 2021

Organization subpart

No

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

Authorized official

Name

Wesley Marshall Bowman, MSED, LPCNPI 1962826974

Title

Owner/Psychotherapist

Phone

(970) 238-0268

Specialties & licenses 1

Addresses

Tax ID family

Integrative Balance Psychotherapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Integrative Balance Psychotherapy

  • Mental Health Counselor
  • Fort Collins, CO
  • NPI 1649621046
  NPD tax ID

Locations

Practitioners 1

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

• Wesley Marshall Bowman, MSED, LPC

  • Mental Health Counselor
  • Fort Collins, CO
  • NPI 1962826974
  NPD Authorized official

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1316600836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 GRAVES AVE UNIT C-2",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805177742",
            "telephone_number": "970-238-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST STE 2240",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255315",
            "telephone_number": "970-238-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE BALANCE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "MARSHALL",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "970-238-0268",
        "authorized_official_credential": "MSED, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Rehab Group, Inc
• Integrated Therapy of Northern Colorado, LLC
• Integrated Wellness Solutions Inc
• Integrative Acupuncture Clinic
• Integrative Acupuncture Clinic
• Integrative Balance Psychotherapy
• Integrative Center for Health
• Integrative Health Consulting
• Integrative Life MD
• Integrative Physiotherapy LLC

• Mental Health Counselor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.