Active NPI
Marta Puchalla
- Marriage & Family Therapist
- Colorado Springs, CO
National Provider Identifier
1801050919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 378
- Practice address
- 1751 S 8TH St
Colorado Springs, CO 80905-1926 - Phone
- (719) 471-1816
- Fax
- (719) 471-9987
- NPI assigned
- Jul 17, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 378 | CO | Primary |
Addresses
Primary practice location
1751 S 8TH St
Colorado Springs, CO 80905-1926
Mailing address
1751 S 8TH St
Colorado Springs, CO 80905-1926
Phone (719) 471-1816
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106455 | Medicaid | CO |
Other names 1
- Marta Puchalla, LMFT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 378 | CO | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216252800000",
"number": "1801050919",
"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": "809051926",
"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": "809051926",
"telephone_number": "719-471-1816",
"fax_number": "719-471-9987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUCHALLA",
"first_name": "MARTA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-17",
"last_updated": "2008-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "378",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106455",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARTA",
"last_name": "PUCHALLA, LMFT",
"credential": "LMFT",
"code": "2",
"type": "Professional Name"
}
]
}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 Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.