Colorado Mesa University

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC4881 Issued in CO

Legal business name

COLORADO MESA UNIVERSITY

Practice address

1100 North Ave
Grand Junction, CO 81501-3122

Phone

(970) 248-1654

Fax

(970) 248-1550

NPI assigned

Jun 29, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Bob L Lang, LPC, LAC

Title

Director of Dah

Phone

(970) 201-8472

Specialties & licenses 1

Addresses

Other names 1

• University Wellness Center Doing business as

Tax ID family

Colorado Mesa Sports Medicine2 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.

• Colorado Mesa University

  • Orthopaedic Surgery Physician
  • Grand Junction, CO
  • NPI 1629452255
  NPD tax ID

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1922459007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NORTH AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815013122",
            "telephone_number": "970-248-1654",
            "fax_number": "970-248-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NORTH AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815013122",
            "telephone_number": "970-248-1654",
            "fax_number": "970-248-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO MESA UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "BOB",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF DAH",
        "authorized_official_telephone_number": "970-201-8472",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, LAC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPC4881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colorado Chiropractic & Muscle Care LLC
• Colorado Community Dental Services
• Colorado Dental Professionals, LLC
• Colorado Hearing Professionals
• Colorado Mesa University
• Colorado Online Counseling LLC
• Colorado Orthotic & Prosthetic Services LLC
• Colorado River Nursing and Rehab Center, LLC
• Colorado State Infusion, Inc.
• Colorado Surgical Affiliates

• Counselor in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.