NPIMap

Organization Active NPI

Whole Human Counseling and Performance, LLC

  • Clinical Psychologist
  • Lafayette, CO
National Provider Identifier
1841875390
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
WHOLE HUMAN COUNSELING AND PERFORMANCE, LLC
Practice address
792 S Bermont Ave
Lafayette, CO 80026-1519
Phone
(732) 567-6544
NPI assigned
Mar 16, 2021
Last updated
Mar 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Dr. Mackenzie Brown, PSYDNPI 1073027066
Title
Clinical Psychologist, Sport Psych
Phone
(732) 567-6544

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary
Exercise & Sports Psychologist 103TE1100X

Addresses

Primary practice location

792 S Bermont Ave
Lafayette, CO 80026-1519

Mailing address

792 S Bermont Ave
Lafayette, CO 80026-1519
Phone (732) 567-6544

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1841875390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 S BERMONT AVE",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800261519",
            "telephone_number": "732-567-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 S BERMONT AVE",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800261519",
            "telephone_number": "732-567-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE HUMAN COUNSELING AND PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST, SPORT PSYCH",
        "authorized_official_telephone_number": "732-567-6544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.