Organization Active NPI

Pura Vida Voices, LLP

  • Marriage & Family Therapist
  • Pueblo, CO
National Provider Identifier
1891132627
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
539 Issued in CO
Legal business name
PURA VIDA VOICES, LLP
Practice address
1624 Bonforte Blvd Ste C
Pueblo, CO 81001-1680
Phone
(719) 546-1300
NPI assigned
Jun 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Authorized official

Name
Dr. William Frederick Stultz, PH.D.
Title
Partner
Phone
(719) 546-1300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 1407 CO
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 539 CO Primary

Addresses

Primary practice location

1624 Bonforte Blvd Ste C
Pueblo, CO 81001-1680

Mailing address

1624 Bonforte Blvd Ste C
Pueblo, CO 81001-1680
Phone (719) 546-1300

National Provider Directory

National Provider Directory

Locations

1624 Bonforte Blvd
Ste C
Pueblo, CO 81001
Phone (303) 694-0555

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1891132627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 BONFORTE BLVD STE C",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011680",
            "telephone_number": "719-546-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 BONFORTE BLVD STE C",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011680",
            "telephone_number": "719-546-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURA VIDA VOICES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "STULTZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "719-546-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "1407",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.