Organization Active NPI

Marold Mindset Inc.

  • Marriage & Family Therapist
  • Colorado Springs, CO
National Provider Identifier
1457453268
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
613 Issued in CO
Legal business name
MAROLD MINDSET INC.
Practice address
2864 S Circle Dr Ste 350
Colorado Springs, CO 80906-4114
Phone
(719) 531-9211
Fax
(719) 540-6045
NPI assigned
Sep 2, 2006
Last updated
May 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Authorized official

Name
Marion Marold Vickerman, LMFT
Title
Owner
Phone
(719) 660-4039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 613 CO Primary

Addresses

Primary practice location

2864 S Circle Dr Ste 350
Colorado Springs, CO 80906-4114

Mailing address

3120 Brady Blvd
Colorado Springs, CO 80909-2125

Other names 1

  • Marion Marold Vickerman, MS, LMFT Other name

National Provider Directory

National Provider Directory

Locations

2864 S Circle Dr
Ste 350
Colorado Springs, CO 80906
Phone (719) 531-9211

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1457453268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 BRADY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2864 S CIRCLE DR STE 350",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064114",
            "telephone_number": "719-531-9211",
            "fax_number": "719-540-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAROLD MINDSET INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "VICKERMAN",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "MAROLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-660-4039",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marion Marold Vickerman, MS, LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.