Organization Active NPI

Autumn Leaves Counseling, LLC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1144719055
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0013058 Issued in CO
Legal business name
AUTUMN LEAVES COUNSELING, LLC
Practice address
2140 Academy Cir Ste C
Colorado Springs, CO 80909-1673
Phone
(719) 332-7794
NPI assigned
May 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Authorized official

Name
Lorrie Guerra, LPCNPI 1093167637
Title
Owner/Provider
Phone
(719) 332-7794

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LPC.0013058 CO Primary

Addresses

Primary practice location

2140 Academy Cir Ste C
Colorado Springs, CO 80909-1673

Mailing address

2140 Academy Cir Ste C
Colorado Springs, CO 80909-1673
Phone (719) 332-7794

Other identifiers 1

IdentifierTypeStateIssuer
48135062MedicaidCO

National Provider Directory

National Provider Directory

Locations

2140 Academy Cir
Ste C
Colorado Springs, CO 80909
Phone (719) 332-7794

2130 Academy Cir
Ste B
Colorado Springs, CO 80909
Phone (719) 651-9577

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": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1144719055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 ACADEMY CIR STE C",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091673",
            "telephone_number": "719-332-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 ACADEMY CIR STE C",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091673",
            "telephone_number": "719-332-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN LEAVES COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "GUERRA",
        "authorized_official_first_name": "LORRIE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "719-332-7794",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0013058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48135062",
            "state": "CO"
        }
    ],
    "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 May 11, 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.