Active NPI
Mountain Air Counseling and Grief Therapy LLC
- Social Worker
- Windsor, CO
National Provider Identifier
1457070039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- MOUNTAIN AIR COUNSELING AND GRIEF THERAPY LLC
- Practice address
- 8010 S County Road 5 Unit 103
Windsor, CO 80528-9004 - Phone
- (307) 331-2862
- NPI assigned
- Aug 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shannon Harris, LCSW
- Title
- Owner
- Phone
- (307) 331-2862
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
8010 S County Road 5 Unit 103
Windsor, CO 80528-9004
Mailing address
5095 Georgetown Dr
Loveland, CO 80538-6808
Phone (307) 331-2862
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1001 E Harmony Rd
#A14
Fort Collins, CO 80525
150 E 29th St
Ste 215
Loveland, CO 80538
Phone (970) 342-5440
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Loveland, CO
- NPI 1841774502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664841600000",
"number": "1457070039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5095 GEORGETOWN DR",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805386808",
"telephone_number": "307-331-2862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8010 S COUNTY ROAD 5 UNIT 103",
"city": "WINDSOR",
"state": "CO",
"postal_code": "805289004",
"telephone_number": "307-331-2862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN AIR COUNSELING AND GRIEF THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-25",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "307-331-2862",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Windsor, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.