Organization Active NPI

Valentine Center for Family Therapy

  • Marriage & Family Therapist
  • La Jara, CO
National Provider Identifier
1992251243
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFTC.0013492 Issued in CO
Legal business name
VALENTINE CENTER FOR FAMILY THERAPY
Practice address
401 Main Street
La Jara, CO 81140
Phone
(719) 992-4260
NPI assigned
Aug 28, 2016
Last updated
Oct 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Authorized official

Name
Tamera Ann Valentine, MA, MFTC, LACNPI 1053788711
Title
Owner
Phone
(719) 992-4260

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X ACD.0000672 CO
Marriage & Family Therapist 106H00000X MFTC.0013492 CO Primary

Addresses

Primary practice location

401 Main Street
La Jara, CO 81140

Mailing address

14385 County Road P
La Jara, CO 81140-9584
Phone (719) 992-4260

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1992251243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14385 COUNTY ROAD P",
            "city": "LA JARA",
            "state": "CO",
            "postal_code": "811409584",
            "telephone_number": "719-992-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MAIN STREET",
            "city": "LA JARA",
            "state": "CO",
            "postal_code": "81140",
            "telephone_number": "719-992-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENTINE CENTER FOR FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "TAMERA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-992-4260",
        "authorized_official_credential": "MA, MFTC, LAC"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0000672",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFTC.0013492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jara, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.