Organization Active NPI

Marta Puchalla LMFT PC

  • Marriage & Family Therapist
  • Colorado Springs, CO
National Provider Identifier
1730225517
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT378 Issued in CO
Legal business name
MARTA PUCHALLA LMFT PC
Practice address
1751 S 8TH St
Colorado Springs, CO 80906
Phone
(719) 471-1816
Fax
(719) 471-9987
NPI assigned
Jan 29, 2007
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
Ms. Marta Puchalla, MA
Title
President
Phone
(719) 471-1816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X LMFT378 CO Primary

Addresses

Primary practice location

1751 S 8TH St
Colorado Springs, CO 80906

Mailing address

1751 S 8TH St
Colorado Springs, CO 80906
Phone (719) 471-1816

Other identifiers 1

IdentifierTypeStateIssuer
106455MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Marta Puchalla LMFT PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730225517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 S 8TH ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80906",
            "telephone_number": "719-471-1816",
            "fax_number": "719-471-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 S 8TH ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80906",
            "telephone_number": "719-471-1816",
            "fax_number": "719-471-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTA PUCHALLA LMFT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUCHALLA",
        "authorized_official_first_name": "MARTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-471-1816",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "LMFT378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106455",
            "state": "CO"
        }
    ],
    "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 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.