NPIMap

Organization Active NPI

Mountain Peaks Counseling, LLC

  • Clinical Social Worker
  • Rifle, CO
National Provider Identifier
1881925048
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
986029 Issued in CO
Legal business name
MOUNTAIN PEAKS COUNSELING, LLC
Practice address
111 E 3Rd St
Suite 203
Rifle, CO 81650-2346
Phone
(970) 987-9879
Fax
(970) 384-2938
NPI assigned
Jan 27, 2010
Last updated
Jul 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Authorized official

Name
Roland E. Ross, LCSW
Title
Owner/Registered Agent
Phone
(970) 987-9879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 986029 CO Primary

Addresses

Primary practice location

111 E 3Rd St
Suite 203
Rifle, CO 81650-2346

Mailing address

PO Box 2011
Rifle, CO 81650-2011
Phone (970) 987-9879

National Provider Directory

National Provider Directory

Locations

111 E 3rd St
Ste 203
Rifle, CO 81650
Phone (970) 987-9879

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1881925048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2011",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816502011",
            "telephone_number": "970-987-9879",
            "fax_number": "970-384-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 3RD ST",
            "address_2": "SUITE 203",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816502346",
            "telephone_number": "970-987-9879",
            "fax_number": "970-384-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN PEAKS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/REGISTERED AGENT",
        "authorized_official_telephone_number": "970-987-9879",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "986029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rifle, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.