Organization Active NPI

Yampa Valley Psychotherapist'S LLC

  • Mental Health Counselor
  • Craig, CO
National Provider Identifier
1730774613
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
YAMPA VALLEY PSYCHOTHERAPIST'S LLC
Practice address
2045 W Victory Way
Craig, CO 81625-3439
Phone
(720) 999-7996
NPI assigned
Mar 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Jacqueline CabreraNPI 1386496206
Title
Ceo
Phone
(720) 999-7996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2045 W Victory Way
Craig, CO 81625-3439

Mailing address

2045 W Victory Way
Craig, CO 81625-3439
Phone (720) 999-7996

Other names 1

  • Yampa Valley Psychotherapist's LLC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1730774613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 W VICTORY WAY",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816253439",
            "telephone_number": "720-999-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 W VICTORY WAY",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816253439",
            "telephone_number": "720-999-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAMPA VALLEY PSYCHOTHERAPIST'S LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-999-7996"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yampa Valley Psychotherapist's LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Yampa Valley Psychotherapist's LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Craig, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.