Organization Active NPI

Mental Health Counseling, PC

  • Mental Health Counselor
  • Buena Vista, CO
National Provider Identifier
1639693450
Registry record updated Aug 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3804 Issued in CO
Legal business name
MENTAL HEALTH COUNSELING, PC
Practice address
111 E. Sterling Ave
Buena Vista, CO 81211-8121
Phone
(710) 395-9454
Fax
(719) 395-9454
NPI assigned
Aug 2, 2017
Last updated
Aug 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2017

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

Authorized official

Name
Alice Sherron, MS, LPCNPI 1447378997
Title
Mental Health Counselor
Phone
(719) 395-9454

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3804 CO Primary

Addresses

Primary practice location

111 E. Sterling Ave
Buena Vista, CO 81211-8121

Mailing address

34077 Surrey LN
Buena Vista, CO 81211-8813
Phone (719) 395-2765

Other identifiers 1

IdentifierTypeStateIssuer
1447378997OtherCOINDIVIDUAL-MENTAL HEALTH COUNSELOR

National Provider Directory

National Provider Directory

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": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501632000000",
    "number": "1639693450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34077 SURREY LN",
            "city": "BUENA VISTA",
            "state": "CO",
            "postal_code": "812118813",
            "telephone_number": "719-395-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E. STERLING AVE",
            "city": "BUENA VISTA",
            "state": "CO",
            "postal_code": "812118121",
            "telephone_number": "710-395-9454",
            "fax_number": "719-395-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH COUNSELING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-02",
        "status": "A",
        "authorized_official_last_name": "SHERRON",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "719-395-9454",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "3804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL-MENTAL HEALTH COUNSELOR",
            "identifier": "1447378997",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Vista, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; 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.