Organization Active NPI

Thecoollineorg

Doing business as Marriage and Family Institute of Colorado

  • Addiction (Substance Use Disorder) Counselor
  • Burlington, CO
National Provider Identifier
1356125629
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
THECOOLLINEORG
Doing business as
Marriage and Family Institute of Colorado
Practice address
451 14TH St
Burlington, CO 80807-1609
Phone
(719) 342-0586
NPI assigned
Aug 18, 2023
Organization subpart
Yes
Parent organization
THECOOLLINEORGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Authorized official

Name
Paula R Gable, D.MIN, LMFT, LAC
Title
Executive Director
Phone
(303) 357-9743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

451 14TH St
Burlington, CO 80807-1609

Mailing address

2485 Tower Ave
Burlington, CO 80807-2613
Phone (719) 342-0586

Other names 1

  • Marriage and Family Institute of Colorado Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Thecoollineorg2 organizations share this tax ID, including this one
Part of
Thecoollineorg

Other organizations with this tax ID 1

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

Locations

451 14th St
Burlington, CO 80807
Phone (719) 297-1818

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1692316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1356125629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 TOWER AVE",
            "city": "BURLINGTON",
            "state": "CO",
            "postal_code": "808072613",
            "telephone_number": "719-342-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 14TH ST",
            "city": "BURLINGTON",
            "state": "CO",
            "postal_code": "808071609",
            "telephone_number": "719-342-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THECOOLLINEORG",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THECOOLLINEORG",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "GABLE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "303-357-9743",
        "authorized_official_credential": "D.MIN, LMFT, LAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marriage and Family Institute of Colorado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.