Cheryl M Koubeck

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

992335 Issued in CO

Legal business name

CHERYL M KOUBECK

Practice address

377 S Redlands Rd
Grand Junction, CO 81503-1768

Phone

(970) 778-2558

Fax

(970) 243-0222

NPI assigned

Feb 7, 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

Cheryl M Koubeck, LCSWNPI 1982779427

Title

Owner

Phone

(970) 778-2558

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Cheryl Marie Koubeck, LCSW

  • Clinical Social Worker
  • Grand Junction, CO
  • NPI 1982779427
  Authorized official Same address or phone

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972643419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 S REDLANDS RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815031768",
            "telephone_number": "970-778-2558",
            "fax_number": "970-243-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 S REDLANDS RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815031768",
            "telephone_number": "970-778-2558",
            "fax_number": "970-243-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERYL M KOUBECK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOUBECK",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-778-2558",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "992335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Chatfield
• Zaira Stephany Chaudhry, MD
• Scott Chausse
• Chay Jay LLC (Mountain Peaks Urgent Care / Grand Junction)
• Laura Alyce Cherin
• Allison Marie Chiappa, NP
• Bobbie C Chiaro, CMT
• Children's Eye Physicians P.C.
• Children's Hospital Colorado (Children's Colorado Outpatient Care, Grand Junction)
• Children's Hospital Colorado (Children's Colorado Regional Outreach Clinic - Grand Junction - SMPSC)

• Clinical Social Worker in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Clinical Social Worker 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.