Organization Active NPI

Mount Tabor Counseling

  • Mental Health Counselor
  • Arvada, CO
National Provider Identifier
1447883566
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MOUNT TABOR COUNSELING
Practice address
5945 Ward Rd Ste 100
Arvada, CO 80004-3901
Phone
(303) 422-1567
NPI assigned
Feb 17, 2020
Last updated
Oct 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Mr. Ryan BalkeNPI 1063049427
Title
President
Phone
(303) 422-1567

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

5945 Ward Rd Ste 100
Arvada, CO 80004-3901

Mailing address

12500 W 58TH Ave Unit 211
Arvada, CO 80002-1104
Phone (303) 422-1567

Other practice location 1

2010 W 120th Ave Ste 201
Westminster, CO 80234-2479
Phone (303) 422-1567 ext. 2

National Provider Directory

National Provider Directory

Locations

12500 W 58th Ave
Unit 211
Arvada, CO 80002
Phone (303) 422-1567

2010 W 120th Ave
Ste 201
Westminster, CO 80234
Phone (303) 466-3807

Practitioners & affiliated clinicians

Practitioners 5

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": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1447883566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 W 58TH AVE UNIT 211",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021104",
            "telephone_number": "303-422-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5945 WARD RD STE 100",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800043901",
            "telephone_number": "303-422-1567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 W 120th Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "802342479",
            "country_code": "US",
            "telephone_number": "303-422-1567 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOUNT TABOR COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-17",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "BALKE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-422-1567",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.