Provider Demographics
NPI:1659184117
Name:OFF CAMPUS COUNSELING
Entity type:Organization
Organization Name:OFF CAMPUS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:MCCAFFREY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:970-402-6238
Mailing Address - Street 1:PO BOX 554
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:CO
Mailing Address - Zip Code:80549-0554
Mailing Address - Country:US
Mailing Address - Phone:970-402-6238
Mailing Address - Fax:
Practice Address - Street 1:3725 CLEVELAND AVE STE D
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:CO
Practice Address - Zip Code:80549-5053
Practice Address - Country:US
Practice Address - Phone:970-402-6238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional