Organization Active NPI

Center for Healing Trauma and Attachment, Inc.

  • Counselor
  • Fort Morgan, CO
National Provider Identifier
1912379306
Registry record updated Aug 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC4495 Issued in CO
Legal business name
CENTER FOR HEALING TRAUMA AND ATTACHMENT, INC.
Practice address
411 Main St
Fort Morgan, CO 80701-2136
Phone
(970) 397-4609
Fax
(970) 483-7823
NPI assigned
Oct 23, 2015
Last updated
Aug 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2016

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

Authorized official

Name
Doreen Hills, MS, NCC, LPCNPI 1154397362
Title
Executive Director
Phone
(970) 397-4609

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC4495 CO Primary

Addresses

Primary practice location

411 Main St
Fort Morgan, CO 80701-2136

Mailing address

3055 County Road L
Wiggins, CO 80654-8121
Phone (970) 397-4609

National Provider Directory

National Provider Directory
Tax ID family
Center for Healing Trauma and Attachment Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471737600000",
    "number": "1912379306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 COUNTY ROAD L",
            "city": "WIGGINS",
            "state": "CO",
            "postal_code": "806548121",
            "telephone_number": "970-397-4609",
            "fax_number": "970-483-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MAIN ST",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807012136",
            "telephone_number": "970-397-4609",
            "fax_number": "970-483-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR HEALING TRAUMA AND ATTACHMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2016-08-21",
        "status": "A",
        "authorized_official_last_name": "HILLS",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "970-397-4609",
        "authorized_official_credential": "MS, NCC, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPC4495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Morgan, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2016; 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.