Active NPI
Mental Health Counseling, PC
- Mental Health Counselor
- Buena Vista, CO
National Provider Identifier
1639693450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3804
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alice Sherron, MS, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447378997 | Other | CO | INDIVIDUAL-MENTAL HEALTH COUNSELOR |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Mental Health Counselor
- Buena Vista, CO
- NPI 1447378997
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.