Joy Ann Buckley, LPC LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ACD 259 Issued in CO

Practice address

1761 County Road 5
Divide, CO 80814-9101

Phone

(719) 200-7209

Fax

(719) 687-9668

NPI assigned

Apr 16, 2008

Last updated

Oct 21, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Joy Ann Meyers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382313600000",
    "number": "1609040161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 COUNTY ROAD 5",
            "city": "DIVIDE",
            "state": "CO",
            "postal_code": "808149101",
            "telephone_number": "719-200-7209",
            "fax_number": "719-687-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 COUNTY ROAD 5",
            "city": "DIVIDE",
            "state": "CO",
            "postal_code": "808149101",
            "telephone_number": "719-200-7209",
            "fax_number": "719-687-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "JOY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2013-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD 259",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC 5789",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOY",
            "last_name": "MEYERS",
            "middle_name": "ANN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lorraine Agold-Rich, RN, BSN, CRRN
• Ellen Andrew
• Lisa Bradley
• Susan Czelusta, CNM
• Miranda Jo David, R.N.
• George V Drake, RPH
• Carol Flowers, COTA
• Kathy Marie Hall, COTA,PTA

• Addiction (Substance Use Disorder) Counselor in Divide, CO
• Providers in Divide, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; 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.