Organization Active NPI

Thecoollineorg

  • Marriage & Family Therapist
  • Lakewood, CO
National Provider Identifier
1396415501
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
THECOOLLINEORG
Practice address
12157 W Cedar Dr Ste 202
Lakewood, CO 80228-2100
Phone
(303) 357-9743
Fax
(303) 985-7882
NPI assigned
Sep 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Dr. Paula R Cannon Gable, LMFT, ADDC
Title
Founder, Exec. Director, Therapist
Phone
(303) 357-9743

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X
Prevention ProfessionalGroup: 193200000X MULTI-SPECIALTY GROUP 405300000X

Addresses

Primary practice location

12157 W Cedar Dr Ste 202
Lakewood, CO 80228-2100

Mailing address

3027 Knolls End Dr Unit 5
Fort Collins, CO 80526-5827
Phone (303) 357-9743

Other practice location 1

300 E Horsetooth Rd Ste 200
Fort Collins, CO 80525-3154
Phone (303) 357-9743

Other practice location 2

451 14th St
Burlington, CO 80807-1609
Phone (719) 297-1818

Other names 1

  • Marriage & 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

Other organizations with this tax ID 1

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

Locations

12157 W Cedar Dr
Ste 202
Lakewood, CO 80228
Phone (303) 357-9743

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1631923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1396415501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3027 KNOLLS END DR UNIT 5",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265827",
            "telephone_number": "303-357-9743",
            "fax_number": "303-985-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12157 W CEDAR DR STE 202",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282100",
            "telephone_number": "303-357-9743",
            "fax_number": "303-985-7882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E Horsetooth Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805253154",
            "country_code": "US",
            "telephone_number": "303-357-9743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "451 14th St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "CO",
            "postal_code": "808071609",
            "country_code": "US",
            "telephone_number": "719-297-1818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THECOOLLINEORG",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-18",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "GABLE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "R CANNON",
        "authorized_official_title_or_position": "FOUNDER, EXEC. DIRECTOR, THERAPIST",
        "authorized_official_telephone_number": "303-357-9743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMFT, ADDC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marriage & Family Institute of Colorado",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marriage & Family Institute of Colorado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.