Eleven Six Counseling Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MFT0001265 Issued in CO

Legal business name

ELEVEN SIX COUNSELING INC

Practice address

5080 Mark Dabling Blvd # 80918
Colorado Springs, CO 80918-3833

Phone

(719) 425-1660

NPI assigned

Dec 7, 2015

Last updated

Dec 20, 2015By 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

Peter J Marsh, LMFTNPI 1699289264

Title

President

Phone

(719) 425-1660

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.

• Peter J Marsh, LMFT

  • Marriage & Family Therapist
  • Colorado Springs, CO
  • NPI 1699289264
  Authorized official Same address or phone

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450569600000",
    "number": "1184099806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 MARK DABLING BLVD # 80918",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183833",
            "telephone_number": "719-425-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 MARK DABLING BLVD # 80918",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183833",
            "telephone_number": "719-425-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVEN SIX COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-20",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-425-1660",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "MFT0001265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2015; 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.