NPIMap

Organization Active NPI

Community Solutions, Inc

  • Community/Behavioral Health Agency
  • Longmont, CO
National Provider Identifier
1841662889
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY SOLUTIONS, INC
Practice address
420 21St Ave
Suite 113
Longmont, CO 80501-1441
Phone
(303) 834-9369
Fax
(303) 834-9396
NPI assigned
Oct 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Authorized official

Name
Mary Ann Ursich, LAC, LMFT
Title
Administrative Director
Phone
(720) 436-7537

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 1771-01 CO
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

420 21St Ave
Suite 113
Longmont, CO 80501-1441

Mailing address

420 21St Ave
Suite 113
Longmont, CO 80501-1441
Phone (303) 834-9369

Other identifiers 1

IdentifierTypeStateIssuer
58173MedicaidCO

Other names 1

  • Community Solutions, Limited Liability Company Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Community Solutions Limited Liability Company2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

420 21st Ave
Ste 113
Longmont, CO 80501
Phone (303) 834-9369

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1841662889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 21ST AVE",
            "address_2": "SUITE 113",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011441",
            "telephone_number": "303-834-9369",
            "fax_number": "303-834-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 21ST AVE",
            "address_2": "SUITE 113",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011441",
            "telephone_number": "303-834-9369",
            "fax_number": "303-834-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "URSICH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "720-436-7537",
        "authorized_official_credential": "LAC, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "1771-01",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58173",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Solutions, Limited Liability Company",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.