SALT WELLNESS GROUP, PLLC
Complete NPI Record 1063145373
Counselor - Mental Health in Greeley, CO
Active since July 05, 2022
Complete NPI Dataset
This page contains the complete raw NPPES record for Salt Wellness Group, Pllc (NPI 1063145373), a counselor organization in Greeley, CO. All 32 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1063145373 Field 1/32
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/32
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/32
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: SALT WELLNESS GROUP, PLLC Field 4/32
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider First Line Business Mailing Address: 1122 9TH ST STE 201 Field 5/32
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: GREELEY Field 6/32
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: CO Field 7/32
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 806313277 Field 8/32
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 9/32
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 8083156232 Field 10/32
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: 1122 9TH ST STE 201 Field 11/32
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: GREELEY Field 12/32
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: CO Field 13/32
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 806313277 Field 14/32
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 15/32
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 8444687258 Field 16/32
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 9709991902 Field 17/32
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: STRONG Field 20/32
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: ROSEMARY Field 21/32
- The first name of the authorized official.
- Authorized Official Title or Position: OWNER Field 22/32
- The title or position of the authorized official.
- Authorized Official Telephone Number: 8083156232 Field 23/32
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 101Y00000X Field 24/32
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: N Field 25/32
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 101YM0800X Field 26/32
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 2: Y Field 27/32
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 28/32
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Authorized Official Credential Text: LPC Field 29/32
- The professional credential(s) of the authorized official listed on the provider's NPI record. Examples include MD (Doctor of Medicine), DO (Doctor of Osteopathy), RN (Registered Nurse), DDS (Doctor of Dental Surgery), PhD, or other recognized designations that reflect the official's qualifications.
- Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP Field 30/32
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
- Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP Field 31/32
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Secondary Practice Locations 5
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
1586 S 21st St Ste 20
Location 1/5Colorado Springs, CO 80904-4260 · Phone (844) 468-7258 · Fax (970) 999-1902
2619 W 11th Street Rd Ste 25
Location 2/5Greeley, CO 80634-5459 · Phone (844) 468-7258 · Fax (970) 999-1902
1122 9th St Ste 203
Location 3/5Greeley, CO 80631-3277 · Phone (844) 468-7258 · Fax (970) 999-1902
100 Cummings Ctr Ste 331K
Location 4/5Beverly, MA 01915-6123 · Phone (844) 468-7258 · Fax (970) 999-1902
160A Pleasant St
Location 5/5North Andover, MA 01845-2706 · Phone (844) 468-7258 · Fax (970) 999-1902
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