Therapy Near Me

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THERAPY NEAR ME

Practice address

711 Main St
Carbondale, CO 81623-1936

Phone

(970) 710-9074

NPI assigned

Apr 14, 2022

Organization subpart

Yes

Parent organization

THERAPY NEAR MEAs reported in NPPES

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

Authorized official

Name

Angela Fullerton, LPCNPI 1801568480

Title

Executive Director

Phone

(970) 710-9074

Specialties & licenses 3

Addresses

Other names 1

• Carbondale Counseling Doing business as

Part of

Therapy Near Me

Locations

Practitioners 1

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

• Angela Fullerton

  • Counselor
  • Carbondale, CO
  • NPI 1801568480

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1912640228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1233",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816231233",
            "telephone_number": "970-710-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 MAIN ST",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816231936",
            "telephone_number": "970-710-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY NEAR ME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THERAPY NEAR ME",
        "enumeration_date": "2022-04-14",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "FULLERTON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "970-710-9074",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carbondale Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carbondale Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joan Sundeen
• Ishara Sweeney, L.AC.
• Ann Marie Taylor, CPM,RM
• David Teitler, L. AC.
• Nancy Sue Thal, DIPL. AC., L.AC.
• David Immanuel Thickman, MD
• Justin Thompson
• Timothy J Bauer Dr of Optometry Professional Corporation Carbondale
• Christine Truong
• Dale M Ulrich, OTR

• Mental Health Counselor in Carbondale, CO
• Providers in Carbondale, 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 2, 2023; 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.