Silver Mountain Psychotherapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SILVER MOUNTAIN PSYCHOTHERAPY, LLC

Practice address

3967 County Road 116
Hesperus, CO 81326-9482

Phone

(646) 772-8283

NPI assigned

Apr 16, 2021

Last updated

Jun 28, 2021By 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

Anthony BraunNPI 1285182212

Title

Owner

Phone

(646) 772-8283

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Silver Mountain Psychotherapy, LLC

  • Clinical Social Worker
  • Durango, CO
  • NPI 1982272043

  O20210617002335

  Same enrollment

Tax ID family

Silver MTN Psychoterapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Silver Mountain Psychotherapy, LLC

  • Clinical Social Worker
  • Durango, CO
  • NPI 1982272043
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Silver Mountain Psychotherapy, LLC

  • Clinical Social Worker
  • Durango, CO
  • NPI 1982272043
  NPPES parent name

Practitioners 2

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.

• Anthony Braun

  • Clinical Social Worker
  • Durango, CO
  • NPI 1285182212
  Medicare reassignment Care Compare group NPD Authorized official
• Julia Dengel, LCSW

  • Clinical Social Worker
  • Durango, CO
  • NPI 1326411422
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1912588336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3967 COUNTY ROAD 116",
            "city": "HESPERUS",
            "state": "CO",
            "postal_code": "813269482",
            "telephone_number": "646-772-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3967 COUNTY ROAD 116",
            "city": "HESPERUS",
            "state": "CO",
            "postal_code": "813269482",
            "telephone_number": "646-772-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER MOUNTAIN PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "BRAUN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-772-8283"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly D'Eramo, D.O.
• Katrina H Feldman, MSW, LCSW
• Fort Lewis Mesa Fire Protection District
• Summer Macon, PTA
• Heather Valerie Raymo, LCSW
• Corinne Truax
• Dorothy M Weeks, LPC
• Worthy Hearts, LLC (Shayla Walker)

• Clinical Social Worker in Hesperus, CO
• Providers in Hesperus, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.