Organization Active NPI

Accent on Life, LLC

  • Community/Behavioral Health Agency
  • Canon City, CO
National Provider Identifier
1245536168
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
993001 Issued in CO
Legal business name
ACCENT ON LIFE, LLC
Practice address
1335 Phay Ave
Suite H
Canon City, CO 81212-2334
Phone
(719) 784-7522
Fax
(719) 269-1730
NPI assigned
Feb 10, 2011
Last updated
Feb 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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

Authorized official

Name
Ms. Terri Gorman, LCSWNPI 1114258670
Title
Sole Proprietor
Phone
(719) 784-7522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 993001 CO Primary

Addresses

Primary practice location

1335 Phay Ave
Suite H
Canon City, CO 81212-2334

Mailing address

PO Box 681
Penrose, CO 81240-0681
Phone (719) 784-7522

National Provider Directory

National Provider Directory

Locations

1335 Phay Ave
Ste H
Canon City, CO 81212
Phone (719) 784-7522

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": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1245536168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681",
            "city": "PENROSE",
            "state": "CO",
            "postal_code": "812400681",
            "telephone_number": "719-784-7522",
            "fax_number": "719-269-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 PHAY AVE",
            "address_2": "SUITE H",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122334",
            "telephone_number": "719-784-7522",
            "fax_number": "719-269-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCENT ON LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-10",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "719-784-7522",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "993001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.