Organization Active NPI

Monumental Therapy Group PLLC

  • Marriage & Family Therapist
  • Palmer Lake, CO
National Provider Identifier
1548989924
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MONUMENTAL THERAPY GROUP PLLC
Practice address
755 Highway 105 Unit 2C
Palmer Lake, CO 80133-9040
Phone
(719) 357-6175
NPI assigned
Aug 26, 2022
Last updated
Aug 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Authorized official

Name
Dani Crawford
Title
Billing Director
Phone
(970) 573-7780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

755 Highway 105 Unit 2C
Palmer Lake, CO 80133-9040

Mailing address

1235 Lake Plaza Dr Ste 125
Colorado Springs, CO 80906-3581

National Provider Directory

National Provider Directory
Tax ID family
Monumental Therapy Group PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

755 Highway 105
Unit 2C
Palmer Lake, CO 80133
Phone (719) 357-6175

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1548989924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 LAKE PLAZA DR STE 125",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 HIGHWAY 105 UNIT 2C",
            "city": "PALMER LAKE",
            "state": "CO",
            "postal_code": "801339040",
            "telephone_number": "719-357-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONUMENTAL THERAPY GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "DANI",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "970-573-7780"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer Lake, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.