Individual provider Active NPI

Tina Wilson, LLPC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1215734934
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCC.0022036 Issued in CO
Practice address
5350 Tomah Dr Ste 3800
Colorado Springs, CO 80918-6957
Phone
(914) 295-9106
NPI assigned
Feb 28, 2025
Last updated
Feb 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPCC.0022036 CO Primary

Addresses

Primary practice location

5350 Tomah Dr Ste 3800
Colorado Springs, CO 80918-6957

Mailing address

5350 Tomah Dr Ste 3800
Colorado Springs, CO 80918-6957
Phone (914) 295-9106

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

LicenseStateTypeSpecialty
LPCC.0022036COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Missing Piece Counseling Services, LLC Professional CurrentSince Mar 11, 2025 Accepting new patients

Locations

5350 Tomah Dr
Ste 3800
Colorado Springs, CO 80918
Phone (719) 428-5534

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1215734934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 TOMAH DR STE 3800",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186957",
            "telephone_number": "914-295-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 TOMAH DR STE 3800",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186957",
            "telephone_number": "914-295-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TINA",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPCC.0022036",
            "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 Feb 28, 2025; 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.