Organization Active NPI

Child, Family and Individual Therapy Services LLC

  • Community/Behavioral Health Agency
  • Fort Collins, CO
National Provider Identifier
1346572930
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC 5553 Issued in CO
Legal business name
CHILD, FAMILY AND INDIVIDUAL THERAPY SERVICES LLC
Practice address
155 W Harvard St
Suite 201
Fort Collins, CO 80525-5200
Phone
(970) 266-8644
NPI assigned
Feb 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Authorized official

Name
Kelly Winters, MA, LPC
Title
Therapist/Owner
Phone
(970) 266-8644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LPC 5553 CO Primary

Addresses

Primary practice location

155 W Harvard St
Suite 201
Fort Collins, CO 80525-5200

Mailing address

155 W Harvard St
Suite 201
Fort Collins, CO 80525-5200
Phone (970) 266-8644

Other names 1

  • Center for Child and Family Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

155 W Harvard St
Ste 201
Fort Collins, CO 80525
Phone (970) 218-0612

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": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1346572930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 W HARVARD ST",
            "address_2": "SUITE 201",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255200",
            "telephone_number": "970-266-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W HARVARD ST",
            "address_2": "SUITE 201",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255200",
            "telephone_number": "970-266-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD, FAMILY AND INDIVIDUAL THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "WINTERS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "970-266-8644",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "LPC 5553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Child and Family Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.