Individual provider Active NPI

Chelsea Latorre Martin, PH.D.

  • Clinical Psychologist
  • Fort Collins, CO
National Provider Identifier
1841619475
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810007643 Issued in VA
Practice address
3030 S College Ave Unit 207
Fort Collins, CO 80525-2557
Phone
(970) 399-9950
Fax
(970) 825-1895
NPI assigned
Apr 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810007643 VA Primary

Addresses

Primary practice location

3030 S College Ave Unit 207
Fort Collins, CO 80525-2557

Mailing address

3030 S College Ave Unit 207
Fort Collins, CO 80525-2557
Phone (970) 399-9950

Other names 1

  • Dr. Chelsea Ann Latorre Former name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810007643VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Psychology Group L.L.C. Professional CurrentSince May 1, 2022 Accepting new patients
Oasis Counseling Center,Inc. PastSince Apr 12, 2016 Accepting new patients
Oasis Counseling Center, Inc. Past Accepting new patients

Locations

3030 S College Ave
Unit 207
Fort Collins, CO 80525
Phone (970) 239-1320

2601 S Lemay Ave
Ste 7451
Fort Collins, CO 80525

2601 S Lemay Ave
Unit 7
Fort Collins, CO 80525
Phone (518) 852-4977

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1841619475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 S COLLEGE AVE UNIT 207",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252557",
            "telephone_number": "970-399-9950",
            "fax_number": "970-825-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 S COLLEGE AVE UNIT 207",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252557",
            "telephone_number": "970-399-9950",
            "fax_number": "970-825-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CHELSEA",
        "middle_name": "LATORRE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810007643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "LATORRE",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 15, 2022; 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.