NPIMap

Organization Active NPI

Empowering Systemic Therapy

  • Community/Behavioral Health Agency
  • Broomfield, CO
National Provider Identifier
1427506963
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1686 Issued in CO
Legal business name
EMPOWERING SYSTEMIC THERAPY
Practice address
80 Garden Ctr
Broomfield, CO 80020-7087
Phone
(303) 960-4822
NPI assigned
Sep 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Authorized official

Name
Ethan Selvig, LCSW
Title
Owner/Operator
Phone
(303) 960-4822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1686 CO Primary

Addresses

Primary practice location

80 Garden Ctr
Broomfield, CO 80020-7087

Mailing address

80 Garden Ctr
Broomfield, CO 80020-7087
Phone (303) 960-4822

National Provider Directory

National Provider Directory
Tax ID family
Empowering Systemic Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1427506963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 GARDEN CTR",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207087",
            "telephone_number": "303-960-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 GARDEN CTR",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207087",
            "telephone_number": "303-960-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERING SYSTEMIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "SELVIG",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "303-960-4822",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "1686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.