NPIMap

Organization Active NPI

Integrated Insight Therapy, LLC

  • Primary Care Clinic/Center
  • Cortez, CO
National Provider Identifier
1982308045
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
INTEGRATED INSIGHT THERAPY, LLC
Practice address
136 W 1St St
Cortez, CO 81321-3510
Phone
(970) 201-1467
Fax
(970) 399-3648
NPI assigned
Mar 30, 2023
Organization subpart
Yes
Parent organization
INTEGRATED INSIGHT THERAPY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Vicky Ubell
Title
Credentialing / Billing
Phone
(970) 615-0076

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Primary Care Clinic/Center 261QP2300X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X

Addresses

Primary practice location

136 W 1St St
Cortez, CO 81321-3510

Mailing address

555 Meeker St
Delta, CO 81416-1920
Phone (970) 201-1467

Other names 1

  • Cortez Location Other name

National Provider Directory

National Provider Directory
Tax ID family
Integrated Insight Therapy11 organizations share this tax ID, including this one
Part of
Integrated Insight Therapy

Other organizations with this tax ID 10

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

Locations

136 W 1st St
Cortez, CO 81321
Phone (970) 201-1467

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": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1982308045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 MEEKER ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161920",
            "telephone_number": "970-201-1467",
            "fax_number": "970-399-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 W 1ST ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213510",
            "telephone_number": "970-201-1467",
            "fax_number": "970-399-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED INSIGHT THERAPY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRATED INSIGHT THERAPY, LLC",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "UBELL",
        "authorized_official_first_name": "VICKY",
        "authorized_official_title_or_position": "CREDENTIALING / BILLING",
        "authorized_official_telephone_number": "970-615-0076"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cortez Location",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cortez, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.