NPIMap

Organization Active NPI

Bonnie Mucklow

Doing business as Families at Five

  • Marriage & Family Therapist
  • Denver, CO
National Provider Identifier
1417144700
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
149 Issued in CO
Legal business name
BONNIE MUCKLOW
Doing business as
Families at Five
Practice address
1191 S Parker Rd
Ste 100
Denver, CO 80234
Phone
(720) 488-3822
Fax
(303) 798-3883
NPI assigned
Oct 1, 2007
Last updated
Aug 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Bonnie Mucklow, LPCNPI 1528082179
Title
Owner
Phone
(720) 898-8711

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 980 CO
Professional Counselor 101YP2500X 116 CO
Marriage & Family Therapist 106H00000X 149 CO Primary
Community/Behavioral Health Agency 251S00000X 114 CO

Addresses

Primary practice location

1191 S Parker Rd
Ste 100
Denver, CO 80234

Mailing address

1191 S Parker Rd
Ste 100
Denver, CO 80234
Phone (720) 488-3822

Other names 1

  • Families at Five Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bonnie Mucklow2 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

1191 S Parker Rd
Ste 100
Denver, CO 80231
Phone (303) 380-0114

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1417144700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 S PARKER RD",
            "address_2": "STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80234",
            "telephone_number": "720-488-3822",
            "fax_number": "303-798-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 S PARKER RD",
            "address_2": "STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80234",
            "telephone_number": "720-488-3822",
            "fax_number": "303-798-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNIE MUCKLOW",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "MUCKLOW",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-898-8711",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "980",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "116",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "149",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "114",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Families at Five",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.