Active NPI
Charlene B Coffin
- Professional Counselor
- Colorado Springs, CO
National Provider Identifier
1194838771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC1045
- Practice address
- 825 E Pikes Peak Ave
Colorado Springs, CO 80903-3635 - Phone
- (719) 776-8325
- Fax
- (719) 776-8568
- NPI assigned
- Aug 16, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC1045 | CO | Primary |
Addresses
Primary practice location
825 E Pikes Peak Ave
Colorado Springs, CO 80903-3635
Mailing address
Dept 1193
Denver, CO 80291-1193
Phone (303) 486-5504
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC1045 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194838771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT 1193",
"city": "DENVER",
"state": "CO",
"postal_code": "802911193",
"telephone_number": "303-486-5504",
"fax_number": "303-486-5501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 E PIKES PEAK AVE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809033635",
"telephone_number": "719-776-8325",
"fax_number": "719-776-8568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFIN",
"first_name": "CHARLENE",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC1045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.