NPIMap

Organization Active NPI

San Juan House Counseling Center

  • Mental Health Counselor
  • Alamosa, CO
National Provider Identifier
1477959617
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2839 Issued in CO
Legal business name
SAN JUAN HOUSE COUNSELING CENTER
Practice address
309 San Juan Ave
Alamosa, CO 81101-2534
Phone
(719) 589-0202
NPI assigned
Nov 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Authorized official

Name
Casey J Garcia
Title
Director
Phone
(719) 588-6777

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 1851 CO
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 2839 CO Primary

Addresses

Primary practice location

309 San Juan Ave
Alamosa, CO 81101-2534

Mailing address

309 San Juan Avenue
Alamosa, CO 81101-3125
Phone (719) 589-0202

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1477959617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 SAN JUAN AVENUE",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811013125",
            "telephone_number": "719-589-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 SAN JUAN AVE",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012534",
            "telephone_number": "719-589-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN HOUSE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "719-588-6777"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "1851",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "2839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamosa, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.