Organization Active NPI

The Dawn Goddess LLC

  • Clinical Social Worker
  • Montrose, CO
National Provider Identifier
1427606136
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE DAWN GODDESS LLC
Practice address
1010 S Cascade Ave Ste E
Montrose, CO 81401-4980
Phone
(970) 465-2714
Fax
(970) 230-5913
NPI assigned
Aug 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Authorized official

Name
Amiessa Dawn Jutten, LCSW
Title
Owner
Phone
(970) 465-2714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1010 S Cascade Ave Ste E
Montrose, CO 81401-4980

Mailing address

236 S 3Rd St # 308
Montrose, CO 81401-3618
Phone (970) 465-2714

Other names 1

  • The Dawn Goddess LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1427606136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 S 3RD ST # 308",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013618",
            "telephone_number": "970-465-2714",
            "fax_number": "970-230-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S CASCADE AVE STE E",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014980",
            "telephone_number": "970-465-2714",
            "fax_number": "970-230-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DAWN GODDESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "JUTTEN",
        "authorized_official_first_name": "AMIESSA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-465-2714",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dawn Goddess LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.