Carlos E. Villafan, NCC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5586 Issued in CO

Practice address

125 N Parkside Dr Ste 204
Colorado Springs, CO 80909-6159

Phone

(719) 465-2582

Fax

(719) 465-2643

NPI assigned

Jul 25, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rom 12-2 CounselingGroup PAC ID 0042657009, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rom 12-2 Counseling

  dba Mind Renewal Behavioral Health Services

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1275060386
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174713325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N PARKSIDE DR STE 204",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809096159",
            "telephone_number": "719-465-2582",
            "fax_number": "719-465-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N PARKSIDE DR STE 204",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809096159",
            "telephone_number": "719-465-2582",
            "fax_number": "719-465-2643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 W Moreno Ave",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80910",
            "country_code": "US",
            "telephone_number": "719-572-6200",
            "fax_number": "719-572-6299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLAFAN",
        "first_name": "CARLOS",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "5586",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "5586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Charles Viguerie II, RPH
• Aida Teresa Vila, LMT
• Sonja Viljoen, PHYSICAL THERAPIST
• Kattia Villa Palma
• Maria Villa
• Venicia Villafana-Charriez, LPC
• Victoria Villafana
• Village Mental Health Center, PLLC
• Village Physical Therapy, PC (PT Solutions of Colorado)
• Alexandrea Mae Villalobos, LCSW

• Mental Health Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.