Colorado Virtual Counseling LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

COLORADO VIRTUAL COUNSELING LLC

Practice address

9609 S University Blvd # 631937
Highlands Ranch, CO 80130-5341

Phone

(303) 895-4893

NPI assigned

Jul 19, 2022

Last updated

Jul 19, 2022By 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

Megan Jack

Title

Owner

Phone

(303) 898-2265

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1891420493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9609 S UNIVERSITY BLVD # 631937",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801305341",
            "telephone_number": "303-898-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9609 S UNIVERSITY BLVD # 631937",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801305341",
            "telephone_number": "303-895-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO VIRTUAL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "JACK",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-898-2265"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.