Creating Mindful Balance LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0011885 Issued in CO

Legal business name

CREATING MINDFUL BALANCE LLC

Practice address

925 E Harmony Rd
Suite 450
Fort Collins, CO 80525-4899

Phone

(970) 232-9585

NPI assigned

Jan 9, 2015

Organization subpart

No

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

Authorized official

Name

Wendy Bangerter, LPC

Title

Owner, Therapist

Phone

(307) 321-4863

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Elizabeth Shuler, LPC

  • Professional Counselor
  • Cody, WY
  • NPI 1275887127

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1659760924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 E HARMONY RD",
            "address_2": "SUITE 450",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254899",
            "telephone_number": "970-232-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 E HARMONY RD",
            "address_2": "SUITE 450",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254899",
            "telephone_number": "970-232-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING MINDFUL BALANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "BANGERTER",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "307-321-4863",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0011885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew R. Crawford, PA-C
• Sarah Elizabeth Craycraft, M.S., LPCC
• Kayleigh M Creager, PA
• Stephen Moss Creal, STEPHEN CREAL D.D.S.
• Adara Creasman
• Noah Creaven, PMHNP
• Creekside Gardens Assisted Living Facility LLC
• Creekside Gardens Assisted Living Facility LLC
• Creekside Village Assisted Living, LLC
• Creekside Village Health and Rehabilitation Center LLC

• Mental Health Counselor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.