NPIMap

Organization Active NPI

C. Blair Skinner, LLC

  • Marriage & Family Therapist
  • Broomfield, CO
National Provider Identifier
1912494485
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT655 Issued in CO
Legal business name
C. BLAIR SKINNER, LLC
Doing business as
Early Childhood Wellness Place
Practice address
520 Zang St Ste 212
Broomfield, CO 80021-8224
Phone
(303) 460-3881
Fax
(303) 460-7850
NPI assigned
Apr 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Authorized official

Name
Ms. C. Blair Skinner, LMFTNPI 1033327887
Title
Owner/Director
Phone
(720) 980-4034

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X LMFT655 CO Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X CO
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X CO

Addresses

Primary practice location

520 Zang St Ste 212
Broomfield, CO 80021-8224

Mailing address

520 Zang St Ste 212
Broomfield, CO 80021-8224
Phone (303) 460-3881

Other names 1

  • Early Childhood Wellness Place Doing business as

National Provider Directory

National Provider Directory

Locations

520 Zang St
Ste 212
Broomfield, CO 80021
Phone (303) 460-3881

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1912494485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 ZANG ST STE 212",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218224",
            "telephone_number": "303-460-3881",
            "fax_number": "303-460-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 ZANG ST STE 212",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218224",
            "telephone_number": "303-460-3881",
            "fax_number": "303-460-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. BLAIR SKINNER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "BLAIR",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "720-980-4034",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "LMFT655",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Early Childhood Wellness Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Early Childhood Wellness Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.