Individual provider Active NPI

Consuelo Mockerman

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1093345753
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0015982 Issued in CO
Practice address
97 Watson Blvd.
Colorado Springs, CO 80911
Phone
(719) 391-8182
Fax
(719) 391-8182
NPI assigned
Jan 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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 LPC.0015982 CO Primary

Addresses

Primary practice location

97 Watson Blvd.
Colorado Springs, CO 80911

Mailing address

5755 Kittery Dr Unit 31163
Colorado Springs, CO 80931-7048
Phone (719) 391-8182

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

LicenseStateTypeSpecialty
LPC.0015982COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Palma Counseling Services, LLC Professional CurrentSince Feb 23, 2025 Accepting new patients

Locations

5755 Kittery Dr
Unit 31163
Colorado Springs, CO 80931

Organizations & group practices 1

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": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1093345753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 KITTERY DR UNIT 31163",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809317048",
            "telephone_number": "719-391-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 WATSON BLVD.",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80911",
            "telephone_number": "719-391-8182",
            "fax_number": "719-391-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCKERMAN",
        "first_name": "CONSUELO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0015982",
            "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 Feb 4, 2025; 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.