The Juniper Clinic, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

THE JUNIPER CLINIC, LLC

Practice address

916 N Weber St
Colorado Springs, CO 80903-2921

Phone

(719) 448-9466

Fax

(719) 448-9467

NPI assigned

Jan 26, 2007

Last updated

Aug 22, 2020By 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

John Hough, PHD

Title

President

Phone

(719) 448-9466

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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.

• Margaret Nel Benton, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
  • NPI 1073624359
  NPD (past)
• Larry Samuel Ganz, M.D.

  • Developmental - Behavioral Pediatrics Physician
  • Colorado Springs, CO
  • NPI 1477609741
  NPD (past)
• Jackie Grimmett, PSYCHOLOGIST

  • Forensic Psychologist
  • Colorado Springs, CO
  • NPI 1992814065
  NPD (past)
• John Mark Lovelace, L.C.S.W.

  • Clinical Social Worker
  • Canon City, CO
  • NPI 1629272497
  NPD (past)
• Dale Alan Piper, PSY.D.

  • Psychologist
  • Colorado Springs, CO
  • NPI 1215002472
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942356217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 N WEBER ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032921",
            "telephone_number": "719-448-9466",
            "fax_number": "719-448-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 N WEBER ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032921",
            "telephone_number": "719-448-9466",
            "fax_number": "719-448-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JUNIPER CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOUGH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-448-9466",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adolescent and Children Mental Health Clinic/Center in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Adolescent and Children Mental Health Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.