Organization Active NPI

Stephanie Neidermyer, LMFT, LLC

  • Marriage & Family Therapist
  • Durango, CO
National Provider Identifier
1659350676
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
589 Issued in CO
Legal business name
STEPHANIE NEIDERMYER, LMFT, LLC
Practice address
128 W 14TH St
Suite 203
Durango, CO 81301-5100
Phone
(970) 759-1923
NPI assigned
Jan 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stephanie Neidermyer, LMFTNPI 1558340588
Title
Marriage & Family Therapist
Phone
(970) 759-1923

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 589 CO Primary

Addresses

Primary practice location

128 W 14TH St
Suite 203
Durango, CO 81301-5100

Mailing address

128 W 14TH St
Suite 203
Durango, CO 81301-5100
Phone (970) 759-1923

National Provider Directory

National Provider Directory

Locations

128 W 14th St
Ste 203
Durango, CO 81301
Phone (970) 759-1923

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659350676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 W 14TH ST",
            "address_2": "SUITE 203",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015100",
            "telephone_number": "970-759-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W 14TH ST",
            "address_2": "SUITE 203",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015100",
            "telephone_number": "970-759-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE NEIDERMYER, LMFT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEIDERMYER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "MARRIAGE & FAMILY THERAPIST",
        "authorized_official_telephone_number": "970-759-1923",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.