Organization Active NPI

Lentz Psychological Services, P.C.

  • Adult Mental Health Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1003377128
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
LENTZ PSYCHOLOGICAL SERVICES, P.C.
Practice address
5855 Lehman Dr Ste 202
Colorado Springs, CO 80918-3492
Phone
(719) 551-9911
Fax
(719) 596-9636
NPI assigned
Mar 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Authorized official

Name
Rachel Suzanne Lentz, PSYDNPI 1659368033
Title
President
Phone
(719) 551-9911

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

5855 Lehman Dr Ste 202
Colorado Springs, CO 80918-3492

Mailing address

5855 Lehman Dr Ste 202
Colorado Springs, CO 80918-3492
Phone (719) 551-9911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190612001537 CO Part B Supplier - Clinic/Group Practice 1254664949 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

5526 N Academy Blvd
Ste 110
Colorado Springs, CO 80918
Phone (719) 466-1165

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1003377128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 LEHMAN DR STE 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183492",
            "telephone_number": "719-551-9911",
            "fax_number": "719-596-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 LEHMAN DR STE 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183492",
            "telephone_number": "719-551-9911",
            "fax_number": "719-596-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENTZ PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "LENTZ",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-551-9911",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.