Eronilde Chaves Buckley, MA, LPC, LAC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0014711 Issued in CO

Practice address

108 E Cheyenne Rd
Colorado Springs, CO 80906-2504

Phone

(719) 359-3431

NPI assigned

Aug 30, 2018

Last updated

Oct 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vivus Counseling Services LLC

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1316429756
  NPD Authorized official

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1093297780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E CHEYENNE RD STE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809062535",
            "telephone_number": "719-359-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E CHEYENNE RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809062504",
            "telephone_number": "719-359-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "ERONILDE",
        "middle_name": "CHAVES",
        "credential": "MA, LPC, LAC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0014711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Buckingham, RMT
• Michael Clay Buckler, P.T.
• Jenna Buckles
• Britt A Buckley, M.D.
• Emily Buckley, MA
• Lilly A Buckley
• Lisa Michelle Buckman, LPCC
• Alanna P Bucknell, MSW, CAS
• Shizuka Buckner, FNP-C
• Logan Buczinski

• Professional Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.