Organization Active NPI

Aspenglow Therapy Company, PLLC

  • Mental Health Counselor
  • Delta, CO
National Provider Identifier
1598513749
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ASPENGLOW THERAPY COMPANY, PLLC
Practice address
326 Main St Ste 200C
Delta, CO 81416-1862
Phone
(502) 295-0274
NPI assigned
May 10, 2024
Last updated
May 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Authorized official

Name
Micah Brittani Massey Bair, LMFT, ADDCNPI 1629651401
Title
Therapist
Phone
(502) 295-0274

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
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

326 Main St Ste 200C
Delta, CO 81416-1862

Mailing address

860 Terrace St
Delta, CO 81416-6702
Phone (502) 295-0274

Other identifiers 2

IdentifierTypeStateIssuer
9000197747MedicaidCO
1629651401OtherNPI

National Provider Directory

National Provider Directory

Locations

326 Main St
Ste 200C
Delta, CO 81416
Phone (502) 295-0274

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": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1598513749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 TERRACE ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814166702",
            "telephone_number": "502-295-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 MAIN ST STE 200C",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161862",
            "telephone_number": "502-295-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPENGLOW THERAPY COMPANY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "BAIR",
        "authorized_official_first_name": "MICAH",
        "authorized_official_middle_name": "BRITTANI MASSEY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "502-295-0274",
        "authorized_official_credential": "LMFT, ADDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000197747",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1629651401",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.