NPIMap

Organization Active NPI

Special Kids Special Families

  • Adolescent and Children Mental Health Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1013402387
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
SPECIAL KIDS SPECIAL FAMILIES
Practice address
424 W Pikes Peak Ave
Colorado Springs, CO 80905-1525
Phone
(719) 447-8983
Fax
(719) 447-9482
NPI assigned
Jun 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Authorized official

Name
Linda K Ellegard, LPC
Title
Executive Director
Phone
(719) 447-8983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X CO Primary

Addresses

Primary practice location

424 W Pikes Peak Ave
Colorado Springs, CO 80905-1525

Mailing address

3830 Stetson CT
Colorado Springs, CO 80907-4906
Phone (720) 988-9511

Other practice location 1

4795 Granby Cir
Colorado Springs, CO 80919-3131
Phone (719) 447-8983

Other identifiers 2

IdentifierTypeStateIssuer
1629515507MedicaidCO
92608264MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Special Kids Special Families5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4795 Granby Cir
Colorado Springs, CO 80919
Phone (719) 447-8983

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1013402387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 STETSON CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074906",
            "telephone_number": "720-988-9511",
            "fax_number": "719-345-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 W PIKES PEAK AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051525",
            "telephone_number": "719-447-8983",
            "fax_number": "719-447-9482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4795 Granby Cir",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809193131",
            "country_code": "US",
            "telephone_number": "719-447-8983",
            "fax_number": "719-447-9482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPECIAL KIDS SPECIAL FAMILIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "ELLEGARD",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "719-447-8983",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629515507",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92608264",
            "state": "CO"
        }
    ],
    "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 Jun 28, 2018; 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.