Active NPI
Barbara Candus Tise, LPC NCC
- Professional Counselor
- Colorado Springs, CO
National Provider Identifier
1073678074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1551
- Practice address
- 5525 Erindale Dr
Suite 124
Colorado Springs, CO 80918-6740 - Phone
- (719) 278-9535
- Fax
- (719) 598-8605
- NPI assigned
- Dec 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1551 | CO | Primary |
Addresses
Primary practice location
5525 Erindale Dr
Suite 124
Colorado Springs, CO 80918-6740
Mailing address
5525 Erindale Dr
Suite 124
Colorado Springs, CO 80918-6740
Phone (719) 278-9535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1551 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073678074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5525 ERINDALE DR",
"address_2": "SUITE 124",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809186740",
"telephone_number": "719-278-9535",
"fax_number": "719-598-8605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5525 ERINDALE DR",
"address_2": "SUITE 124",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809186740",
"telephone_number": "719-278-9535",
"fax_number": "719-598-8605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TISE",
"first_name": "BARBARA",
"middle_name": "CANDUS",
"name_prefix": "Mrs.",
"credential": "LPC NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "1551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.