Perklen Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PERKLEN INC.

Doing business as

Perklen Center for Psychotherapy

Practice address

2619 West 11TH Street Road
Suite #23
Greeley, CO 80634-5459

Phone

(970) 353-8171

Fax

(970) 353-0371

NPI assigned

Jun 6, 2019

Last updated

Nov 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Linn Wuthrich

Title

Office Manager

Phone

(970) 353-8171

Specialties & licenses 1

Addresses

Other names 1

• Perklen Center for Psychotherapy Doing business as

Locations

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1851950638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 WEST 11TH STREET ROAD",
            "address_2": "SUITE #23",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345459",
            "telephone_number": "970-353-8171",
            "fax_number": "970-353-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 WEST 11TH STREET ROAD",
            "address_2": "SUITE #23",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345459",
            "telephone_number": "970-353-8171",
            "fax_number": "970-353-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERKLEN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "WUTHRICH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LINN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "970-353-8171"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perklen Center for Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.

Verify at the official NPI Registry.