Active NPI
Derry Counseling Services, LLC
- Mental Health Counselor
- Greeley, CO
National Provider Identifier
1679022719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0012334
- Legal business name
- DERRY COUNSELING SERVICES, LLC
- Practice address
- 1015 37TH Avenue CT
Suite 102
Greeley, CO 80634-2565 - Phone
- (303) 960-5677
- NPI assigned
- Sep 30, 2016
- Last updated
- Sep 30, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie A. Derry, LPC.0012334
- Title
- Licensed Professional Counselor
- Phone
- (303) 960-5677
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0012334 | CO | Primary |
Addresses
Primary practice location
1015 37TH Avenue CT
Suite 102
Greeley, CO 80634-2565
Mailing address
1015 37TH Avenue CT
Suite 102
Greeley, CO 80634-2565
Phone (303) 960-5677
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Professional Counselor
- Fort Collins, CO
- NPI 1538520630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475193600000",
"number": "1679022719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 37TH AVENUE CT",
"address_2": "SUITE 102",
"city": "GREELEY",
"state": "CO",
"postal_code": "806342565",
"telephone_number": "303-960-5677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 37TH AVENUE CT",
"address_2": "SUITE 102",
"city": "GREELEY",
"state": "CO",
"postal_code": "806342565",
"telephone_number": "303-960-5677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DERRY COUNSELING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-30",
"last_updated": "2016-09-30",
"status": "A",
"authorized_official_last_name": "DERRY",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "303-960-5677",
"authorized_official_credential": "LPC.0012334"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "0012334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.