Active NPI
Deborah Diana Gillespie, MA, LPCC, NCC
- Mental Health Counselor
- La Junta, CO
National Provider Identifier
1154779254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC.0014047
- Practice address
- 711 Barnes Ave
La Junta, CO 81050-2138 - Phone
- (800) 511-5446
- NPI assigned
- May 31, 2016
- Sex
- Female
- Sole proprietor
- No
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 | LPC.0014047 | CO | Primary |
Addresses
Primary practice location
711 Barnes Ave
La Junta, CO 81050-2138
Mailing address
3950 Charro Dr
Colorado Springs, CO 80911-3446
Phone (303) 688-6407
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0014047 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525305600000",
"number": "1154779254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3950 CHARRO DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809113446",
"telephone_number": "303-688-6407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 BARNES AVE",
"city": "LA JUNTA",
"state": "CO",
"postal_code": "810502138",
"telephone_number": "800-511-5446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLESPIE",
"first_name": "DEBORAH",
"middle_name": "DIANA",
"credential": "MA, LPCC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-31",
"last_updated": "2018-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPC.0014047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Junta, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.