Organization Active NPI

Untethered Therapy Group, LLC

Doing business as Untethered Therapy Group

  • Marriage & Family Therapist
  • Bellevue, PA
National Provider Identifier
1598154262
Registry record updated Jan 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF000693 Issued in PA
Legal business name
UNTETHERED THERAPY GROUP, LLC
Doing business as
Untethered Therapy Group
Practice address
570 Lincoln Ave
Bellevue, PA 15202-3530
Phone
(304) 216-8287
NPI assigned
Jan 17, 2015
Last updated
Jan 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2015

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

Authorized official

Name
Heather L PutneyNPI 1952654782
Title
Managing Member
Phone
(304) 216-8287

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC 007892 PA
Marriage & Family Therapist 106H00000X MF000693 PA Primary

Addresses

Primary practice location

570 Lincoln Ave
Bellevue, PA 15202-3530

Mailing address

570 Lincoln Ave
Bellevue, PA 15202-3530
Phone (304) 216-8287

Other names 1

  • Untethered Therapy Group Doing business as

National Provider Directory

National Provider Directory

Locations

570 Lincoln Ave
Bellevue, PA 15202
Phone (412) 254-4046

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": "1421452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421452800000",
    "number": "1598154262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 LINCOLN AVE",
            "city": "BELLEVUE",
            "state": "PA",
            "postal_code": "152023530",
            "telephone_number": "304-216-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 LINCOLN AVE",
            "city": "BELLEVUE",
            "state": "PA",
            "postal_code": "152023530",
            "telephone_number": "304-216-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNTETHERED THERAPY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-17",
        "last_updated": "2015-01-17",
        "status": "A",
        "authorized_official_last_name": "PUTNEY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "304-216-8287"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC 007892",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Untethered Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, PA

Sources for this page

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