Connections-Adolescent and Family Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CONNECTIONS-ADOLESCENT AND FAMILY COUNSELING, LLC

Practice address

500 9TH Ave Ste 1
Longmont, CO 80501-4545

Phone

(970) 315-2595

NPI assigned

Mar 2, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea Berger, LPC, CAC IIINPI 1568661379

Title

Dual Diagnosis Psychotherapist

Phone

(970) 315-2595

Specialties & licenses 3

Addresses

Electronic endpoints 1

Practitioners 1

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

• Andrea L Berger, MA LPC

  • Addiction (Substance Use Disorder) Counselor
  • Longmont, CO
  • NPI 1568661379
  NPD Authorized official

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1952935751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 KENTMERE DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805042324",
            "telephone_number": "303-521-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 9TH AVE STE 1",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805014545",
            "telephone_number": "970-315-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIONS-ADOLESCENT AND FAMILY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "DUAL DIAGNOSIS PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "970-315-2595",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, CAC III"
    },
    "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": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Longmont",
            "affiliation": "N",
            "address_1": "500 9th Ave Ste 1",
            "city": "Longmont",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805014545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Professional Counselor in Longmont, CO
• Providers in Longmont, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.