Individual provider Active NPI

Trinity Alise Scroggs, LPC

  • Counselor
  • Colorado Springs, CO
National Provider Identifier
1003451303
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC.0017405 Issued in CO
Practice address
4521 Sierra Rica Rd
Colorado Springs, CO 80911-3893
Phone
(719) 760-9632
NPI assigned
Nov 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC.0017405 CO Primary
Counselor 101Y00000X

Addresses

Primary practice location

4521 Sierra Rica Rd
Colorado Springs, CO 80911-3893

Mailing address

4521 Sierra Rica Rd
Colorado Springs, CO 80911-3893
Phone (719) 760-9632

Other names 1

  • Trinity Alise Moses Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0017405COMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1573344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1003451303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 SIERRA RICA RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809113893",
            "telephone_number": "719-760-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4521 SIERRA RICA RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809113893",
            "telephone_number": "719-760-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCROGGS",
        "first_name": "TRINITY",
        "middle_name": "ALISE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-10",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPC.0017405",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRINITY",
            "last_name": "MOSES",
            "middle_name": "ALISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.