Active NPI
Plan B Therapy
- Clinical Social Worker
- Fort Collins, CO
National Provider Identifier
1467947911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149-009149
- Legal business name
- PLAN B THERAPY
- Practice address
- 2620 E Prospect Rd Ste 190
Fort Collins, CO 80525-9098 - Phone
- (312) 944-3565
- NPI assigned
- Jun 27, 2018
- 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
- Dr. Suzanne Blaising, PHD
- Title
- President
- Phone
- (312) 944-3565
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149-009149 | IL | Primary |
Addresses
Primary practice location
2620 E Prospect Rd Ste 190
Fort Collins, CO 80525-9098
Mailing address
456 Quinby St
Fort Collins, CO 80524-4933
Phone (312) 944-3565
Other practice location 1
456 Quinby St
Fort Collins, CO 80524-4933
Phone (312) 944-3565
National Provider Directory
National Provider DirectoryLocations
233 E Erie St
Ste 703
Chicago, IL 60611
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
- Fort Collins, CO
- NPI 1538344668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640822400000",
"number": "1467947911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "456 QUINBY ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805244933",
"telephone_number": "312-944-3565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 E PROSPECT RD STE 190",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805259098",
"telephone_number": "312-944-3565"
}
],
"practiceLocations": [
{
"address_1": "456 Quinby St",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805244933",
"country_code": "US",
"telephone_number": "312-944-3565",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PLAN B THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-27",
"last_updated": "2021-12-30",
"certification_date": "2021-12-30",
"status": "A",
"authorized_official_last_name": "BLAISING",
"authorized_official_first_name": "SUZANNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "312-944-3565",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149-009149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.