Organization Active NPI

Surprise Valley Health and Wellness Inc

Doing business as Surprise Valley Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1215785498
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SURPRISE VALLEY HEALTH AND WELLNESS INC
Doing business as
Surprise Valley Behavioral Health
Practice address
1304 N Academy Blvd Ste 206
Colorado Springs, CO 80909-3318
Phone
(719) 888-7668
Fax
(719) 888-7686
NPI assigned
May 11, 2024
Organization subpart
Yes
Parent organization
SURPRISE VALLEY HEALTH AND WELLNESS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Helen-Elena EmegbaghaNPI 1518474469
Title
Owner
Phone
(719) 888-7668

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1304 N Academy Blvd Ste 206
Colorado Springs, CO 80909-3318

Mailing address

3246 Centennial Blvd # 161
Colorado Springs, CO 80907-4077
Phone (941) 549-2765

Other names 1

  • Surprise Valley Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Surprise Valley Health and Wellness Inc2 organizations share this tax ID, including this one
Part of
Surprise Valley Health and Wellness Inc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1715385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1215785498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3246 CENTENNIAL BLVD # 161",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074077",
            "telephone_number": "941-549-2765",
            "fax_number": "719-888-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 N ACADEMY BLVD STE 206",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093318",
            "telephone_number": "719-888-7668",
            "fax_number": "719-888-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURPRISE VALLEY HEALTH AND WELLNESS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SURPRISE VALLEY HEALTH AND WELLNESS INC",
        "enumeration_date": "2024-05-11",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "EMEGBAGHA",
        "authorized_official_first_name": "HELEN-ELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-888-7668"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surprise Valley Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 27, 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.