Individual provider Active NPI

Amilee Luaine Duval

  • Marriage & Family Therapist
  • Colorado Springs, CO
National Provider Identifier
1053198697
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
4955 Bradley Rd
Colorado Springs, CO 80911-3265
Phone
(719) 392-8855
NPI assigned
Sep 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

4955 Bradley Rd
Colorado Springs, CO 80911-3265

Mailing address

6710 Summer Grace St
Colorado Springs, CO 80923-4442
Phone (972) 834-4314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260424000078 CO Practitioner - Marriage and Family Therapist 9436626751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

225 E Cheyenne Mountain Blvd
Suite 100
Colorado Springs, CO 80906-3700

509 Chatfield Dr
Colorado Springs, CO 80911-1709

6710 Summer Grace St
Colorado Springs, CO 80923-4442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Julie L Wilson LLC Multi-Specialty CurrentSince Sep 10, 2023 Accepting new patients
Counseling at the Peak Marriage & Family Therapist PastSince May 1, 2024 Accepting new patients

Locations

4955 Bradley Rd
Colorado Springs, CO 80911
Phone (719) 392-8855

Organizations & group practices 3

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": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1053198697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 SUMMER GRACE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809234442",
            "telephone_number": "972-834-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 BRADLEY RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809113265",
            "telephone_number": "719-392-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVAL",
        "first_name": "AMILEE",
        "middle_name": "LUAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.