Active NPI
John Thornburg
- Counselor
- Fort Collins, CO
National Provider Identifier
1972161024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPCC.0016690
- Practice address
- 649 Remington St
Fort Collins, CO 80524-3024 - Phone
- (720) 370-1800
- NPI assigned
- Jun 4, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPCC.0016690 | CO | Primary |
Addresses
Primary practice location
649 Remington St
Fort Collins, CO 80524-3024
Mailing address
2309 Picadilly Cir
Longmont, CO 80503-4141
Phone (720) 308-1921
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC.0016690 | CO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1972161024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2309 PICADILLY CIR",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805034141",
"telephone_number": "720-308-1921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "649 REMINGTON ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805243024",
"telephone_number": "720-370-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNBURG",
"first_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-04",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "CO",
"license": "LPCC.0016690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.