Organization Active NPI

Imago Behavioral Consulting

  • Community/Behavioral Health Agency
  • Colorado Springs, CO
National Provider Identifier
1083202618
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
IMAGO BEHAVIORAL CONSULTING
Practice address
421 Cooper Ave
Colorado Springs, CO 80905-1120
Phone
(254) 338-1158
NPI assigned
Jan 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Authorized official

Name
Kandace Em Little, BCBANPI 1336671940
Title
Founder
Phone
(254) 338-1158

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

421 Cooper Ave
Colorado Springs, CO 80905-1120

Mailing address

421 Cooper Ave
Colorado Springs, CO 80905-1120
Phone (254) 338-1158

National Provider Directory

National Provider Directory

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": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1083202618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 COOPER AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051120",
            "telephone_number": "254-338-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 COOPER AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051120",
            "telephone_number": "254-338-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGO BEHAVIORAL CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "KANDACE",
        "authorized_official_middle_name": "EM",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "254-338-1158",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Jan 8, 2021; 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.