Active Counseling & Therapeutic Solutions, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

174701 Issued in CO

Legal business name

ACTIVE COUNSELING & THERAPEUTIC SOLUTIONS, LLC

Practice address

1220 11TH Ave
Suite 300
Greeley, CO 80631-3858

Phone

(970) 356-3887

Fax

(970) 356-1060

NPI assigned

Oct 11, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Jeremy Wayne Brooks

Title

Owner

Phone

(970) 356-3887

Specialties & licenses 1

Addresses

Other names 1

• Active Counseling Doing business as

Locations

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

{
    "created_epoch": "1412985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412985600000",
    "number": "1700280310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 11TH AVE",
            "address_2": "SUITE 300",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806313858",
            "telephone_number": "970-356-3887",
            "fax_number": "970-356-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 11TH AVE",
            "address_2": "SUITE 300",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806313858",
            "telephone_number": "970-356-3887",
            "fax_number": "970-356-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE COUNSELING & THERAPEUTIC SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-11",
        "last_updated": "2014-10-11",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-356-3887",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CO",
            "license": "174701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Greeley, CO
• Substance Use Disorder Rehabilitation Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2014; 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.