My Therapy Matters LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

MY THERAPY MATTERS LLC

Doing business as

My Therapy Matters LLC

Practice address

1304 N Academy Blvd
Colorado Springs, CO 80909-3325

Phone

(435) 817-0155

NPI assigned

Feb 11, 2021

Last updated

Feb 11, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

MY THERAPY MATTERS LLCAs reported in NPPES

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

Authorized official

Name

Clive Russell HallamNPI 1811154321

Title

Executive Director

Phone

(435) 817-0155

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• My Therapy Matters LLC Doing business as

Electronic endpoints 1

Tax ID family

My Therapy Matters LLC3 organizations share this tax ID, including this one

Part of

My Therapy Matters LLC

Other organizations with this tax ID 2

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

• My Therapy Matters LLC

  • Marriage & Family Therapist
  • Pueblo West, CO
  • NPI 1255921995
  NPD tax ID
• My Therapy Matters LLC

  • Marriage & Family Therapist
  • Pueblo, CO
  • NPI 1538752423
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• My Therapy Matters LLC

  • Marriage & Family Therapist
  • Pueblo West, CO
  • NPI 1255921995
  NPPES parent name

Practitioners 1

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.

• Clive Russell Hallam, LMFT

  • Marriage & Family Therapist
  • Pueblo West, CO
  • NPI 1811154321
  Authorized official Same address or phone

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1457944357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1094 S GREENWAY DR",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810075092",
            "telephone_number": "435-817-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 N ACADEMY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093325",
            "telephone_number": "435-817-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY THERAPY MATTERS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MY THERAPY MATTERS LLC",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "HALLAM",
        "authorized_official_first_name": "CLIVE",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "435-817-0155"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811154321",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mytherapymatters.org",
            "affiliation": "N",
            "address_1": "1304 N Academy Blvd",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809093325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "My Therapy Matters LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marriage & Family Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.