Individual provider Active NPI

Christina Janiszeski, LPC, LAC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1033657770
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0014963 Issued in CO
Practice address
5360 N Academy Blvd Ste 290
Colorado Springs, CO 80918-4038
Phone
(719) 434-2061
Fax
(719) 434-2275
NPI assigned
Feb 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0001337 CO
Professional Counselor 101YP2500X LPC.0014963 CO Primary

Addresses

Primary practice location

5360 N Academy Blvd Ste 290
Colorado Springs, CO 80918-4038

Mailing address

5360 N Academy Blvd Ste 290
Colorado Springs, CO 80918-4038
Phone (719) 434-2061

Other practice location 1

5855 Lehman Dr
Colorado Springs, CO 80918-3423
Phone (719) 329-1900 ext. 112

Other identifiers 2

IdentifierTypeStateIssuer
ACD.0001337OtherCODEPARTMENT OF REGULATORY AGENCIES
LPC.0014963OtherCODEPARTMENT OF REGULATORY AGENCIES

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL http://cotreatment.com/

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
ACD.0001337COMDAddiction (Substance Use Disorder) Counselor
LPC.0014963COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerment Therapy Center, LLC Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1033657770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 N ACADEMY BLVD STE 290",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184038",
            "telephone_number": "719-434-2061",
            "fax_number": "719-434-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 N ACADEMY BLVD STE 290",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184038",
            "telephone_number": "719-434-2061",
            "fax_number": "719-434-2275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5855 Lehman Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809183423",
            "country_code": "US",
            "telephone_number": "719-329-1900 x112",
            "fax_number": "719-329-1901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANISZESKI",
        "first_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "credential": "LPC, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-01",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001337",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0014963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF REGULATORY AGENCIES",
            "identifier": "ACD.0001337",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF REGULATORY AGENCIES",
            "identifier": "LPC.0014963",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://cotreatment.com/",
            "affiliation": "N",
            "address_1": "5360 N Academy Blvd Ste 290",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809184038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 20, 2019; 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.