Active NPI
Diana P. Kirtleyllc
- Community/Behavioral Health Agency
- Colorado Springs, CO
National Provider Identifier
1225317514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 5061
- Legal business name
- DIANA P. KIRTLEYLLC
- Practice address
- 1295 Kelly Johnson Blvd Ste 250
Colorado Springs, CO 80920-3963 - Phone
- (719) 229-9811
- Fax
- (719) 278-6707
- NPI assigned
- Aug 4, 2011
- Last updated
- Aug 4, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diana Powell Kirtley, LPC/CACIII
- Title
- Mental Health Therapist
- Phone
- (719) 229-9811
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 5061 | CO | Primary |
Addresses
Primary practice location
1295 Kelly Johnson Blvd Ste 250
Colorado Springs, CO 80920-3963
Mailing address
11857 Trissino HTS
Falcon, CO 80831-4501
Phone (719) 229-9811
National Provider Directory
National Provider DirectoryLocations
1295 Kelly Johnson Blvd
Ste 250
Colorado Springs, CO 80920
Phone (719) 229-9811
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.
-
- Professional Counselor
- Colorado Springs, CO
- NPI 1962654095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312416000000",
"number": "1225317514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11857 TRISSINO HTS",
"city": "FALCON",
"state": "CO",
"postal_code": "808314501",
"telephone_number": "719-229-9811",
"fax_number": "719-278-6707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1295 KELLY JOHNSON BLVD STE 250",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809203963",
"telephone_number": "719-229-9811",
"fax_number": "719-278-6707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIANA P. KIRTLEYLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-04",
"last_updated": "2011-08-04",
"status": "A",
"authorized_official_last_name": "KIRTLEY",
"authorized_official_first_name": "DIANA",
"authorized_official_middle_name": "POWELL",
"authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
"authorized_official_telephone_number": "719-229-9811",
"authorized_official_credential": "LPC/CACIII"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CO",
"license": "5061",
"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 Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.