Cheyenne Mountain Counseling & Wellness Center

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1069 Issued in CO

Legal business name

CHEYENNE MOUNTAIN COUNSELING & WELLNESS CENTER

Practice address

108 E Cheyenne Rd Ste 206
Colorado Springs, CO 80906-2535

Phone

(719) 434-1088

Fax

(719) 434-1166

NPI assigned

Nov 5, 2013

Last updated

Nov 5, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Melodie K Mack, LPC, LMFT

Title

Owner, Counselor

Phone

(719) 434-1088

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1043649429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E CHEYENNE RD STE 206",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809062535",
            "telephone_number": "719-434-1088",
            "fax_number": "719-434-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E CHEYENNE RD STE 206",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809062535",
            "telephone_number": "719-434-1088",
            "fax_number": "719-434-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYENNE MOUNTAIN COUNSELING & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "MELODIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER, COUNSELOR",
        "authorized_official_telephone_number": "719-434-1088",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "6389",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "1069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Chew, PSY.D
• Kathleen A Chewakin, PT
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• Cheyenne Mountain Care and Rehab
• Cheyenne Mountain Children's Dentistry PC
• Cheyenne Mountain Dental Group
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• Cheyenne Mountain Oral Surgery PC

• Marriage & Family Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.