Active NPI
Ivy Marie Silvestre Regidor
- Mental Health Counselor
- Colorado Springs, CO
National Provider Identifier
1134829898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3055 Austin Bluffs Pkwy Ste C
Colorado Springs, CO 80918-5758 - Phone
- (719) 344-9482
- NPI assigned
- Mar 9, 2023
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3055 Austin Bluffs Pkwy Ste C
Colorado Springs, CO 80918-5758
Mailing address
8761 Bittercress Dr
Colorado Springs, CO 80925-9653
Phone (719) 439-6682
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678320000000",
"number": "1134829898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8761 BITTERCRESS DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809259653",
"telephone_number": "719-439-6682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3055 AUSTIN BLUFFS PKWY STE C",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809185758",
"telephone_number": "719-344-9482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGIDOR",
"first_name": "IVY MARIE",
"middle_name": "SILVESTRE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-09",
"last_updated": "2023-03-09",
"certification_date": "2023-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental 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 Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.