Organization Active NPI

Center for Mind and Body Therapy

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1033730122
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CENTER FOR MIND AND BODY THERAPY
Doing business as
Center for Mind and Body Therapy
Practice address
611 N Weber St Ste 200
Colorado Springs, CO 80903-1072
Phone
(309) 230-2707
NPI assigned
Apr 30, 2020
Last updated
Apr 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Authorized official

Name
Mrs. Amy Marie Scott, LCSWNPI 1154876266
Title
Co-Owner/Therapist
Phone
(309) 230-2707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Clinical Social Worker 1041C0700X NU
Registered Dietitian 133V00000X NU

Addresses

Primary practice location

611 N Weber St Ste 200
Colorado Springs, CO 80903-1072

Mailing address

611 N Weber St Ste 200
Colorado Springs, CO 80903-1072
Phone (309) 230-2707

Other names 1

  • Center for Mind and Body Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

611 N Weber St
Ste 200
Colorado Springs, CO 80903
Phone (309) 230-2707

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1033730122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N WEBER ST STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031072",
            "telephone_number": "309-230-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N WEBER ST STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031072",
            "telephone_number": "309-230-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR MIND AND BODY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CO-OWNER/THERAPIST",
        "authorized_official_telephone_number": "309-230-2707",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Mind and Body Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 30, 2020; 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.