Sodawellness

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0012446 Issued in CO

Legal business name

SODAWELLNESS

Practice address

174 Midland Ave
Basalt, CO 81621-8911

Phone

(303) 489-0420

NPI assigned

Apr 4, 2016

Last updated

Apr 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Soda, M.A, LPC, LACNPI 1609382225

Title

Owner

Phone

(303) 489-0420

Specialties & licenses 2

Addresses

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.

• James R Soda

  • Mental Health Counselor
  • Hobe Sound, FL
  • NPI 1609382225
  Authorized official Same address or phone

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1649633785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4767",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816214767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 MIDLAND AVE",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218911",
            "telephone_number": "303-489-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SODAWELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "SODA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-489-0420",
        "authorized_official_credential": "M.A, LPC, LAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0000453",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0012446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Aimee Skagen, LCSW
• Jennifer Anne Skyler, MFT, PHD
• Jason D Slaver, DC
• Jenna Smith
• Karen Lajoy Smith, L.P.C.
• Grace Song, P.A.
• Sopris Chiropractic PC
• Sopris Medical Practice, P.C.
• Sopris Rehabilitation Services
• Jillian Standley, MA, LPCC

• Professional Counselor in Basalt, CO
• Providers in Basalt, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.