NPIMap

Organization Active NPI

Professional Counseling and Hypnosis LLC

  • Professional Counselor
  • Fort Collins, CO
National Provider Identifier
1811340912
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PROFESSIONAL COUNSELING AND HYPNOSIS LLC
Practice address
1006 Robertson St
West Wing, LWR Level
Fort Collins, CO 80524-3900
Phone
(970) 416-9595
NPI assigned
Jul 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Authorized official

Name
Lisa M. Michaels, LPC
Title
President/Owner
Phone
(970) 416-9595

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X Primary
Addiction (Substance Use Disorder) PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TA0400X

Addresses

Primary practice location

1006 Robertson St
West Wing, LWR Level
Fort Collins, CO 80524-3900

Mailing address

1006 Robertson St
West Wing, LWR Level
Fort Collins, CO 80524-3900
Phone (970) 416-9595

National Provider Directory

National Provider Directory

Locations

1006 Robertson St
Lowr
Fort Collins, CO 80524
Phone (970) 416-9595

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1811340912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 ROBERTSON ST",
            "address_2": "WEST WING, LWR LEVEL",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243900",
            "telephone_number": "970-416-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 ROBERTSON ST",
            "address_2": "WEST WING, LWR LEVEL",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243900",
            "telephone_number": "970-416-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL COUNSELING AND HYPNOSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "MICHAELS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "970-416-9595",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 13, 2016; 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.