Organization Active NPI

Our Village Counseling

  • Professional Counselor
  • Fort Collins, CO
National Provider Identifier
1356002950
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
OUR VILLAGE COUNSELING
Practice address
2627 Redwing Rd Ste 235
Fort Collins, CO 80526-6352
Phone
(970) 658-7121
NPI assigned
Jan 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Dominic Smith, LPC,RPTNPI 1790265197
Title
Owner
Phone
(970) 658-7121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2627 Redwing Rd Ste 235
Fort Collins, CO 80526-6352

Mailing address

2627 Redwing Rd Ste 235
Fort Collins, CO 80526-6352
Phone (970) 658-7121

National Provider Directory

National Provider Directory
Tax ID family
Our Village 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.

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": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1356002950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 REDWING RD STE 235",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266352",
            "telephone_number": "970-658-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 REDWING RD STE 235",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266352",
            "telephone_number": "970-658-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR VILLAGE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-658-7121",
        "authorized_official_credential": "LPC,RPT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 20, 2023; 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.