Organization Active NPI

Diana P. Kirtleyllc

  • Community/Behavioral Health Agency
  • Colorado Springs, CO
National Provider Identifier
1225317514
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
5061 Issued in CO
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.