Organization Active NPI

Northeast Colorado Family Counseling Center, LLC

  • Marriage & Family Therapist
  • Sterling, CO
National Provider Identifier
1962950170
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0000490 Issued in CO
Legal business name
NORTHEAST COLORADO FAMILY COUNSELING CENTER, LLC
Practice address
228 S 3Rd St Ste 1
Sterling, CO 80751-4276
Phone
(970) 526-2123
Fax
(970) 526-2123
NPI assigned
Sep 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Authorized official

Name
Donna Bishop Davis, MA, LMFTNPI 1770705659
Title
Owner
Phone
(970) 526-2123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 0000490 CO Primary

Addresses

Primary practice location

228 S 3Rd St Ste 1
Sterling, CO 80751-4276

Mailing address

228 S 3Rd St Ste 1
Sterling, CO 80751-4276
Phone (970) 526-2123

National Provider Directory

National Provider Directory

Locations

228 S 3rd St
Ste 1
Sterling, CO 80751
Phone (970) 526-2123

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1962950170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 S 3RD ST STE 1",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514276",
            "telephone_number": "970-526-2123",
            "fax_number": "970-526-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 S 3RD ST STE 1",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514276",
            "telephone_number": "970-526-2123",
            "fax_number": "970-526-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST COLORADO FAMILY COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "BISHOP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-526-2123",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "0000490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.