Organization Active NPI

Lotus Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1033741186
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LOTUS MENTAL HEALTH LLC
Practice address
1880 Office Club PT
Colorado Springs, CO 80920-5008
Phone
(719) 203-1278
NPI assigned
Feb 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Authorized official

Name
Cayla FendickNPI 1366927642
Title
Pmhnp
Phone
(719) 203-1278

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1880 Office Club PT
Colorado Springs, CO 80920-5008

Mailing address

1880 Office Club PT
Colorado Springs, CO 80920-5008
Phone (719) 203-1278

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cayla.fendick@lotusmentalhealth.org

National Provider Directory

National Provider Directory

Locations

1880 Office Club Pt
Colorado Springs, CO 80920
Phone (719) 210-1460

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": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1033741186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 OFFICE CLUB PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809205008",
            "telephone_number": "719-203-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 OFFICE CLUB PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809205008",
            "telephone_number": "719-203-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "FENDICK",
        "authorized_official_first_name": "CAYLA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "719-203-1278"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cayla.fendick@lotusmentalhealth.org",
            "affiliation": "N",
            "address_1": "1880 Office Club Pt",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809205008",
            "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 Feb 14, 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.