Experiential Family Therapy and Training Center, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EXPERIENTIAL FAMILY THERAPY AND TRAINING CENTER, LLC

Practice address

7175 W Jefferson Ave Ste 1200
Lakewood, CO 80235-2380

Phone

(720) 757-1988

Fax

(720) 306-5522

NPI assigned

Oct 19, 2020

Last updated

Oct 19, 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

Lacie Killion, MA, LMFT, LAC, RPTNPI 1356798078

Title

Owner/Director

Phone

(720) 757-1988

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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.

• Lacie Killion, MA, LMFT, LAC

  • Marriage & Family Therapist
  • Lakewood, CO
  • NPI 1356798078
  NPD Authorized official

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1891394177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2974 W CHENANGO AVE",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801106308",
            "telephone_number": "720-757-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7175 W JEFFERSON AVE STE 1200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352380",
            "telephone_number": "720-757-1988",
            "fax_number": "720-306-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENTIAL FAMILY THERAPY AND TRAINING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "KILLION",
        "authorized_official_first_name": "LACIE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "720-757-1988",
        "authorized_official_credential": "MA, LMFT, LAC, RPT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED ADDICTION COUNSELOR",
            "identifier": "ACA.0001175",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE AND FAMILY THERAPIST",
            "identifier": "MFT.0001840",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1356798078",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evergreen Psychiatry PLLC (Evergreen Psychiatry)
• Evergreen Terrace LLC
• Alison Everingham
• Everside Health, LLC (Marathon Health, Lakewood CO)
• Michael Steven Everson, MA, LPC, NCC
• Expert Medical Alliance of Colorado
• Eye Care Associates of Co, LLC (Alpine Vision)
• Eye Care Associates of Co, LLC (Bryan Vision Associates)
• Eye Center of Northern Colorado, P.C. (Denver Eye Surgeons)
• Eye Studio, Inc. (Just Glasses)

• Mental Health Counselor in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.