Silver Mountain Psychotherapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SILVER MOUNTAIN PSYCHOTHERAPY, LLC

Practice address

2257 Main Ave Ste D
Durango, CO 81301-4660

Phone

(970) 239-1791

NPI assigned

Jun 15, 2021

Organization subpart

Yes

Parent organization

SILVER MOUNTAIN PSYCHOTHERAPY, LLCAs reported in NPPES

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

Authorized official

Name

Anthony B Braun, LCSWNPI 1285182212

Title

Owner/Provider

Phone

(646) 772-8283

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Silver Mountain Psychotherapy, LLC

  • Clinical Social Worker
  • Hesperus, CO
  • NPI 1912588336

  O20210617002335

  Same enrollment

Tax ID family

Silver MTN Psychoterapy LLC2 organizations share this tax ID, including this one

Part of

Silver MTN Psychoterapy LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Silver Mountain Psychotherapy, LLC

  • Clinical Social Worker
  • Hesperus, CO
  • NPI 1912588336
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Silver Mountain Psychotherapy, LLC

  • Clinical Social Worker
  • Hesperus, CO
  • NPI 1912588336
  NPPES parent name

Practitioners 2

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

• Anthony Braun

  • Clinical Social Worker
  • Durango, CO
  • NPI 1285182212
  NPD Authorized official
• Julia Dengel, LCSW

  • Clinical Social Worker
  • Durango, CO
  • NPI 1326411422
  NPD

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1982272043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3967 COUNTY ROAD 116",
            "city": "HESPERUS",
            "state": "CO",
            "postal_code": "813269482",
            "telephone_number": "646-772-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2257 MAIN AVE STE D",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014660",
            "telephone_number": "970-239-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER MOUNTAIN PSYCHOTHERAPY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SILVER MOUNTAIN PSYCHOTHERAPY, LLC",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "BRAUN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "646-772-8283",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Signature Health Systems
• David Alan Sigurslid, M.D.
• Hannah Sikora
• Ana Cecilia Siller, FNP-C
• Silver Mountain Pediatrics, Inc.
• Silver Sage Care
• Rebecca Young Simms-Ramharter, DPT
• Alexandra Sims, PHARMD
• Mary E Sinnott-Oswald
• Rachel Rose Sirek, LPCC

• Clinical Social Worker in Durango, CO
• Providers in Durango, 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 Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.