MY THERAPY PLACE (NPI# 1992347959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992347959 |
| Entity Type | Organization |
| Organization Name | MY THERAPY PLACE |
| Practice Address |
11095 Mckissick Rd Peyton CO 80831-8326 |
| Practice Telephone | 7193109792 |
| Mailing Telephone | 7193109792 |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |
| Authorized Official Name | TIFFANY SINCLAIR (CEO) |
| Authorized Official Telephone | 7193109792 |
| Authorized Official Credential | LPCC, LAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | My Therapy Place PLLC | 4030 Wake Forest Road Ste 349, Raleigh, NC 27609 |
| Colorado Business Entities | My Therapy Place, Inc. | 11095 Mckissick Rd, Peyton, CO 80831 |
| Street Address |
11095 MCKISSICK RD |
| City | PEYTON |
| State | CO |
| Zip Code | 80831-8326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487172557 | Tiffany Sinclair | Counselor | 11095 Mckissick Rd, Peyton, CO 80831-8326 | 2017-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578041109 | Nkoyo Ntuen | Licensed Practical Nurse | 12215 Angelina Dr, Peyton, CO 80831 | 2018-08-06 |
| 1336639251 | Just for Grins Vision LLC | Optometrist | 11874 Stapleton Drive, Falcon, CO 80831 | 2018-05-16 |
| 1053840413 | Jacqueline Anne Lloyd | Specialist/Technologist | 12571 Scamper Road, Falcon, CO 80831 | 2017-06-08 |
| 1619224987 | Peak Vista Community Health Centers | Clinic/Center | 12050 Falcon Highway, Peyton, CO 80831 | 2012-08-06 |
| 1275843997 | Kathryn P Pershing | Physical Therapist | 7622 Mclaughlin Road, Falcon, CO 80831 | 2010-10-15 |
| 1366696080 | Leticia Venegas | Physical Therapist | 21 Mdos/sgoy 110 W Ent Av, Attn: 21 Mdos/sgoy, Peterson Afb, CO 80831 | 2008-11-07 |
| 1245459643 | Scott G Miller | Chiropractor | 14755 F East Hwy 24, Falcon, CO 80831 | 2007-04-24 |
| 1144390477 | Falcon Family Eye Care PC | Optometrist | 7685 Mclaughlin Rd, Suite 130, Falcon, CO 80831 | 2006-11-08 |
| 1558459305 | Kimberly Kay Breckon | Optometrist | 7642 Mclaughlin Rd, Falcon, CO 80831 | 2006-10-10 |
| 1174587521 | Phillip Graden Kleinman | Registered Nurse | 8607 Bohleen Rd, Peyton, CO 80831 | 2006-04-13 |
| Find all providers in zip 80831 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487172557 | Tiffany Sinclair | Counselor | 11095 Mckissick Rd, Peyton, CO 80831-8326 | 2017-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446505 | Rae Ann Bartels Lpc Lac LLC | Counselor | 101 E 3rd St Ste 209, Rifle, CO 81650-2317 | 2020-10-27 |
| 1346849841 | Polaris Partners Counseling and Consulting LLC | Counselor | 155 S Madison St Ste 306, Denver, CO 80209-3014 | 2020-10-26 |
| 1669071213 | Crystal Reanee Kisselburgh | Counselor | 2956 North Ave Ste 1, Grand Junction, CO 81504-3919 | 2020-10-23 |
| 1013514272 | Rhianna Lauren Dow | Counselor | 9015 E 47th Ave Unit 102, Denver, CO 80238-4213 | 2020-10-01 |
| 1710594965 | Maggie Wehrmann | Counselor | 600 W County Line Rd Apt 30-101, Highlands Ranch, CO 80129-6510 | 2020-09-30 |
| 1497361646 | Jessica A Olguin | Counselor | 6901 S Pierce St Ste 337, Littleton, CO 80128-7202 | 2020-09-22 |
| 1083220099 | Samantha Pino | Counselor | 41 Montebello Rd Ste 124, Pueblo, CO 81001-1366 | 2020-09-16 |
| 1740894781 | Arapahoe Mental Health Center, Inc | Counselor | 116 Inverness Dr E Ste 105, Englewood, CO 80112-5125 | 2020-09-08 |
| 1982218343 | Foundations 4 Life, LLC | Counselor | 2956 North Ave Ste 6, Grand Junction, CO 81504-3919 | 2020-09-03 |
| 1376156208 | Compass Counseling & Consultation Pllc | Counselor | 13353 Wildflower St, Broomfield, CO 80020-5266 | 2020-08-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.