Organization Active NPI

Enhanced Life Counseling, LLC

  • Counselor
  • Colorado Springs, CO
National Provider Identifier
1134675416
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
4551 Issued in CO
Legal business name
ENHANCED LIFE COUNSELING, LLC
Practice address
6755 Earl Dr Ste 209
Colorado Springs, CO 80918-1039
Phone
(719) 310-0602
Fax
(719) 282-1216
NPI assigned
Aug 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Authorized official

Name
Vasti HolstunNPI 1235339417
Title
Owner
Phone
(719) 310-0602

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 4551 CO Primary

Addresses

Primary practice location

6755 Earl Dr Ste 209
Colorado Springs, CO 80918-1039

Mailing address

6755 Earl Dr Ste 209
Colorado Springs, CO 80918-1039
Phone (719) 310-0602

National Provider Directory

National Provider Directory

Locations

6755 Earl Dr
Ste 209
Colorado Springs, CO 80918
Phone (719) 310-0602

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1134675416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6755 EARL DR STE 209",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181039",
            "telephone_number": "719-310-0602",
            "fax_number": "719-282-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6755 EARL DR STE 209",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181039",
            "telephone_number": "719-310-0602",
            "fax_number": "719-282-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCED LIFE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "HOLSTUN",
        "authorized_official_first_name": "VASTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-310-0602"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "CO",
            "license": "4551",
            "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 Apr 23, 2024; 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.