Provider Demographics
NPI:1447892120
Name:OURAY COUNSELING PLLC
Entity type:Organization
Organization Name:OURAY COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ISABELLA
Authorized Official - Middle Name:F
Authorized Official - Last Name:GEYER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:720-416-3451
Mailing Address - Street 1:PO BOX 1028
Mailing Address - Street 2:
Mailing Address - City:OURAY
Mailing Address - State:CO
Mailing Address - Zip Code:81427-1028
Mailing Address - Country:US
Mailing Address - Phone:970-318-1599
Mailing Address - Fax:
Practice Address - Street 1:636 MAIN STREET
Practice Address - Street 2:
Practice Address - City:OURAY
Practice Address - State:CO
Practice Address - Zip Code:81427-9998
Practice Address - Country:US
Practice Address - Phone:970-318-1599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-14
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000178500Medicaid