Colorado Soul Care, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

13541 Issued in CO

Legal business name

COLORADO SOUL CARE, LLC

Practice address

5650 Greenwood Plaza Blvd
#202
Greenwood Village, CO 80111-2307

Phone

(937) 409-4203

NPI assigned

Oct 16, 2015

Organization subpart

No

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

Authorized official

Name

Lee Ann Chadrick, MA, MFTC

Title

Owner, Marriage & Family Therapist

Phone

(937) 409-4203

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1487025409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24562 E EASTER PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800164105",
            "telephone_number": "937-409-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 GREENWOOD PLAZA BLVD",
            "address_2": "#202",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112307",
            "telephone_number": "937-409-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SOUL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "CHADRICK",
        "authorized_official_first_name": "LEE ANN",
        "authorized_official_title_or_position": "OWNER, MARRIAGE & FAMILY THERAPIST",
        "authorized_official_telephone_number": "937-409-4203",
        "authorized_official_credential": "MA, MFTC"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "13541",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "13541",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.