Individual provider Active NPI

Adrea Nicole Zaleski, MS, LPC-S, NCC

  • Counselor
  • Colorado Springs, CO
National Provider Identifier
1194372441
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0109577 Issued in CO
Practice address
5353 N Union Blvd Ste 201a
Colorado Springs, CO 80918-2069
Phone
(850) 619-5607
NPI assigned
Aug 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0109577 NM
Counselor 101Y00000X 0109577 CO Primary

Addresses

Primary practice location

5353 N Union Blvd Ste 201a
Colorado Springs, CO 80918-2069

Mailing address

8361 Colorado Spruce LN
Colorado Springs, CO 80927-4083
Phone (850) 619-5607

Other practice location 1

660 Southpointe Ct Ste 200
Colorado Springs, CO 80906-3874
Phone (719) 465-2582

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240817000584 CO Practitioner - Mental Health Counselor 0446798722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zia Healing and Wellness LLCGroup PAC ID 9537607817, 4 clinicians

Practice addresses (Care Compare)

5373 N Union Blvd
Suite 200
Colorado Springs, CO 80918-2053
Phone (719) 201-5602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0109577COMDCounselor
0109577NMMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Zia Healing and Wellness LLC Counselor CurrentSince May 28, 2024 Accepting new patients
Rom 12-2 Counseling PastSince Mar 3, 2024 Accepting new patients

Locations

5373 N Union Blvd
Ste 200
Colorado Springs, CO 80918
Phone (719) 201-5602

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1194372441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8361 COLORADO SPRUCE LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809274083",
            "telephone_number": "850-619-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 N UNION BLVD STE 201A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809182069",
            "telephone_number": "850-619-5607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 Southpointe Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809063874",
            "country_code": "US",
            "telephone_number": "719-465-2582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZALESKI",
        "first_name": "ADREA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC-S, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "0109577",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "0109577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.