Organization Active NPI

SLV Family & Addictions Counseling, Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alamosa, CO
National Provider Identifier
1336463488
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
AA86 Issued in CO
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

Updated by the provider on Mar 18, 2010

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)CodeLicenseStatePrimary
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 Counseling2 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.

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.

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.

Verify at the official NPI Registry.