Trailhead Family and Life Skills

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

TRAILHEAD FAMILY AND LIFE SKILLS

Practice address

512 N Institute St
Colorado Springs, CO 80903-3142

Phone

(719) 323-3349

NPI assigned

Nov 9, 2021

Last updated

Nov 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nathanial Friesen

Title

Ceo/Owner

Phone

(719) 323-3349

Specialties & licenses 1

Addresses

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.

• Andrew Duque, MA, BCBA

  • Behavior Analyst
  • Colorado Springs, CO
  • NPI 1144112988
  NPD

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1174289631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 N INSTITUTE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033142",
            "telephone_number": "719-323-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 N INSTITUTE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033142",
            "telephone_number": "719-323-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAILHEAD FAMILY AND LIFE SKILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "FRIESEN",
        "authorized_official_first_name": "NATHANIAL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "719-323-3349"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy J. Kinsley, Ms, LPC, Caciii, LLC
• Tracy Rosen Therapy
• Tracy Wells, OD PC
• Christiana Tracy
• Sara Tracy
• Amanda Anne Trainer, NP-C
• Janelle Trainor
• Sarah Trammel
• Carri Trammell, DA
• Denise My Tran-Miles, PSYD

• Developmentally Disabled Services Day Training Agency in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Developmentally Disabled Services Day Training Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.