Family Therapy DTC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

FAMILY THERAPY DTC

Practice address

7430 E Caley Ave Ste 130E
Centennial, CO 80111-6715

Phone

(303) 551-4615

NPI assigned

Feb 27, 2020

Last updated

Feb 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ethan Rietema, RP

Title

Owner

Phone

(303) 551-4615

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1538793682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 ALTON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 E CALEY AVE STE 130E",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116715",
            "telephone_number": "303-551-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY THERAPY DTC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "RIETEMA",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-551-4615",
        "authorized_official_credential": "RP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Faldowski
• Lynne S. Falick, OTR
• Families at Five
• Family Eye Clinic, PC
• Family Physicians at Highlands Ranch
• Family Tree Acupuncture & Wellness, LLC
• Ronald Dean Fancher I, O.D.
• Rollant Fanfan
• Mira Ann Fanning, MA, LPCC, MFTC
• Alicia Nicole Fanucchi, MS, CCC-SLP

• Professional Counselor in Centennial, CO
• Providers in Centennial, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.