Crystal River Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CRYSTAL RIVER COUNSELING, LLC

Doing business as

Crystal River Counseling, LLC

Practice address

11992 Ridge Pkwy Apt 304
Broomfield, CO 80021-5154

Phone

(303) 900-7897

NPI assigned

Jun 6, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Caleb Howald, MA, MSW, LCSW

Title

Therapist

Phone

(303) 900-7897

Specialties & licenses 1

Addresses

Other names 1

• Crystal River Counseling, LLC Doing business as

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1659000693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11992 RIDGE PKWY APT 304",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800215154",
            "telephone_number": "303-900-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11992 RIDGE PKWY APT 304",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800215154",
            "telephone_number": "303-900-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL RIVER COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "HOWALD",
        "authorized_official_first_name": "CALEB",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "303-900-7897",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal River Counseling, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.