Active NPI
SLV Family & Addictions Counseling, Corp
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Alamosa, CO
National Provider Identifier
1336463488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- AA86
- Legal business name
- SLV FAMILY & ADDICTIONS COUNSELING, CORP
- Practice address
- 716 Main St
#205
Alamosa, CO 81101-2540 - Phone
- (719) 589-2974
- Fax
- (719) 589-2974
- NPI assigned
- Mar 18, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra Fitzgerald, MA, CAC III
- Title
- Owner
- Phone
- (719) 589-2974
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | AA86 | CO | Primary |
Addresses
Primary practice location
716 Main St
#205
Alamosa, CO 81101-2540
Mailing address
10 River Dr
Alamosa, CO 81101-2045
Phone (719) 589-2974
National Provider Directory
National Provider Directory- Tax ID family
- SLV Family Addictions Counseling
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Addiction (Substance Use Disorder) Counselor
- Alamosa, CO
- NPI 1053478271
Locations
716 Main St
#205
Alamosa, CO 81101
Phone (719) 589-2974
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Mesa, AZ
- NPI 1508187220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268870400000",
"number": "1336463488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 RIVER DR",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811012045",
"telephone_number": "719-589-2974",
"fax_number": "719-589-2974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 MAIN ST",
"address_2": "#205",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811012540",
"telephone_number": "719-589-2974",
"fax_number": "719-589-2974"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLV FAMILY & ADDICTIONS COUNSELING, CORP",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-18",
"last_updated": "2010-03-18",
"status": "A",
"authorized_official_last_name": "FITZGERALD",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "719-589-2974",
"authorized_official_credential": "MA, CAC III"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "CO",
"license": "AA86",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alamosa, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.