Active NPI
Specialty Counseling & Consulting
- Psychiatry Physician
- Loveland, CO
National Provider Identifier
1649042037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- SPECIALTY COUNSELING & CONSULTING
- Practice address
- 1413 W 29TH St
Loveland, CO 80538-2403 - Phone
- (970) 942-3037
- Fax
- (307) 426-4799
- NPI assigned
- Oct 27, 2023
- Organization subpart
- Yes
- Parent organization
- SPECIALTY COUNSELING & CONSULTING
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Logan, LPC
- Title
- Owner/Operator
- Phone
- (307) 426-4797
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Psychologist | 103T00000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Psychiatry Physician | 2084P0800X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
1413 W 29TH St
Loveland, CO 80538-2403
Mailing address
4025 Rawlins St
Cheyenne, WY 82001-1900
Phone (307) 426-4797
National Provider Directory
National Provider Directory- Tax ID family
- Specialty Counseling Consu
- Part of
- Specialty Counseling Consu
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatry Physician
- Greeley, CO
- NPI 1043082431
-
- Psychiatry Physician
- Wellington, CO
- NPI 1982476370
-
- Community/Behavioral Health Agency
- Cheyenne, WY
- NPI 1164783916
-
- Community/Behavioral Health Agency
- Cheyenne, WY
- NPI 1538462783
Locations
1413 W 29th St
Loveland, CO 80538
Phone (970) 744-6342
4025 Rawlins St
Cheyenne, WY 82001
Phone (307) 426-4797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698883200000",
"number": "1649042037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4025 RAWLINS ST",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820011900",
"telephone_number": "307-426-4797",
"fax_number": "307-426-4799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1413 W 29TH ST",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805382403",
"telephone_number": "970-942-3037",
"fax_number": "307-426-4799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIALTY COUNSELING & CONSULTING",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SPECIALTY COUNSELING & CONSULTING",
"enumeration_date": "2023-10-27",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A",
"authorized_official_last_name": "LOGAN",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "307-426-4797",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.