Organization Active NPI

Violet Mountain Life Center, Inc.

  • Marriage & Family Therapist
  • Colorado Springs, CO
National Provider Identifier
1659815769
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0000390 Issued in CO
Legal business name
VIOLET MOUNTAIN LIFE CENTER, INC.
Practice address
1353 S 8TH St
Suite 102
Colorado Springs, CO 80905-7320
Phone
(719) 201-5735
NPI assigned
Dec 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Authorized official

Name
Dr. Gloria J. Ryder, L.M.F.T.
Title
Founder
Phone
(719) 201-5735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 0000390 CO Primary

Addresses

Primary practice location

1353 S 8TH St
Suite 102
Colorado Springs, CO 80905-7320

Mailing address

1353 S 8TH St
Suite 102
Colorado Springs, CO 80905-7320
Phone (719) 201-5735

National Provider Directory

National Provider Directory

Locations

1353 S 8th St
Ste 102
Colorado Springs, CO 80905
Phone (719) 201-5735

NPI Registry JSON

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1659815769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 S 8TH ST",
            "address_2": "SUITE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809057320",
            "telephone_number": "719-201-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 S 8TH ST",
            "address_2": "SUITE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809057320",
            "telephone_number": "719-201-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIOLET MOUNTAIN LIFE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "RYDER",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "719-201-5735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.M.F.T."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "0000390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.