Individual provider Active NPI

Joel Berscheid, LPC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1073131983
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0015379 Issued in CO
Practice address
5265 N Academy Blvd
Colorado Springs, CO 80918-4060
Phone
(303) 552-8567
NPI assigned
Jul 7, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0015379 CO Primary

Addresses

Primary practice location

5265 N Academy Blvd
Colorado Springs, CO 80918-4060

Mailing address

10900 E Garden Dr Apt 3-310
Aurora, CO 80012-4299
Phone (303) 552-8567

Other practice location 1

1735 Pontiac St
Denver, CO 80220-1831
Phone (303) 552-8567

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
I20240822004295 CO Practitioner - Mental Health Counselor 2466991351 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0015379COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC Professional CurrentSince Jun 2, 2024 Accepting new patients
Family Care Center, LLC CurrentSince Jun 2, 2024 Accepting new patients

Locations

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

6566 N Marksheffel Rd
#100
Colorado Springs, CO 80923
Phone (719) 297-7646

Organizations & group practices 2

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": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1073131983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 E GARDEN DR APT 3-310",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124299",
            "telephone_number": "303-552-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5265 N ACADEMY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184060",
            "telephone_number": "303-552-8567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1735 Pontiac St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802201831",
            "country_code": "US",
            "telephone_number": "303-552-8567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERSCHEID",
        "first_name": "JOEL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0015379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.