Organization Active NPI

River of Life Counseling LLC

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1215783428
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RIVER OF LIFE COUNSELING LLC
Practice address
111 E Polk St
Colorado Springs, CO 80907-6267
Phone
(719) 799-8758
NPI assigned
Apr 29, 2024
Last updated
Apr 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Jennifer BrownNPI 1194271346
Title
Ma, LPC, Owner
Phone
(719) 641-0009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

111 E Polk St
Colorado Springs, CO 80907-6267

Mailing address

2650 Rustlers Canyon Loop
Elizabeth, CO 80107-7942

National Provider Directory

National Provider Directory
Tax ID family
River of Life Counseling LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1215783428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RUSTLERS CANYON LOOP",
            "city": "ELIZABETH",
            "state": "CO",
            "postal_code": "801077942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E POLK ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076267",
            "telephone_number": "719-799-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER OF LIFE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MA, LPC, OWNER",
        "authorized_official_telephone_number": "719-641-0009"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "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 Apr 29, 2024; 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.