Rustic River Counseling Services PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RUSTIC RIVER COUNSELING SERVICES PLLC

Practice address

3307 S College Ave Unit 216a
Fort Collins, CO 80525-4196

Phone

(970) 294-3088

Fax

(970) 294-3228

NPI assigned

Jun 1, 2023

Organization subpart

No

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

Authorized official

Name

Jordan Elizabeth Jowder, LPC

Title

Owner/LPC

Phone

(303) 775-5545

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1558054700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 S COLLEGE AVE UNIT 216A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254196",
            "telephone_number": "970-294-3088",
            "fax_number": "970-294-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 S COLLEGE AVE UNIT 216A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254196",
            "telephone_number": "970-294-3088",
            "fax_number": "970-294-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSTIC RIVER COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "JOWDER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/LPC",
        "authorized_official_telephone_number": "303-775-5545",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianne Russell, RMT
• Joshua Russell, D.C.
• Matthew Russell, MA, LPCC
• Natasha Russell
• Savannah Russell, L.AC.
• Jennifer Main Rutberg, MD
• Ruth S Waller LLC
• Austyn Rutherford
• Mary B Rutherford, LCSW
• Susan M Rutherford, PT

• Mental Health Counselor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.