NPIMap

Organization Active NPI

Thornwoodwellnessllc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Collins, CO
National Provider Identifier
1750190245
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
THORNWOODWELLNESSLLC
Practice address
1075 W Horsetooth Rd Unit 200
Fort Collins, CO 80526-5984
Phone
(303) 908-5560
NPI assigned
Dec 30, 2024
Organization subpart
Yes
Parent organization
THORNWOOD WELLNESS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
David R Brunick, LMFT
Title
Owner
Phone
(303) 908-5560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1075 W Horsetooth Rd Unit 200
Fort Collins, CO 80526-5984

Mailing address

620 Front Range Rd
Littleton, CO 80120-4052
Phone (303) 908-5560

Other names 1

  • Ellie Mental Health Ft Collins Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Thornwoodwellnessllc7 organizations share this tax ID, including this one
Part of
Thornwoodwellnessllc

Other organizations with this tax ID 6

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": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1750190245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 FRONT RANGE RD",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204052",
            "telephone_number": "303-908-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 W HORSETOOTH RD UNIT 200",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265984",
            "telephone_number": "303-908-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THORNWOODWELLNESSLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THORNWOOD WELLNESS LLC",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "BRUNICK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-908-5560",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health Ft Collins",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.