Organization Active NPI

Plan B Therapy

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1467947911
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-009149 Issued in IL
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

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Dr. Suzanne Blaising, PHDNPI 1538344668
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.