Active NPI
Joella Whittaker
- Marriage & Family Therapist
- Longmont, CO
National Provider Identifier
1811522311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFTC.0013910
- Practice address
- 356 1/2 Main St Ste 5
Longmont, CO 80501-5527 - Phone
- (720) 340-2506
- NPI assigned
- Mar 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | MFTC.0013910 | CO | Primary |
Addresses
Primary practice location
356 1/2 Main St Ste 5
Longmont, CO 80501-5527
Mailing address
356 1/2 Main St Ste 5
Longmont, CO 80501-5527
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 |
|---|---|---|---|
| MFTC.0013910 | CO | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583366400000",
"number": "1811522311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "356 1/2 MAIN ST STE 5",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805015527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "356 1/2 MAIN ST STE 5",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805015527",
"telephone_number": "720-340-2506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITTAKER",
"first_name": "JOELLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-05",
"last_updated": "2020-03-05",
"certification_date": "2020-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "MFTC.0013910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
- Jenna Whitham, MD
- Harley Whitley
- Whitney Swander Audiology, Inc (Hearing HealthCare Centers)
- Whitney Swander Audiology, Inc (Hearing Healthcare Centers)
- Jacob Clark Whitsitt, M.D.
- Cathy Dawn Whittern, DDS
- Whole Family Health Care of Longmont
- Patricia Elizabeth Wick, SLP
- Ashley Wieczorek, L.AC.
- Kari Wiesen, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.