Altitude Counseling Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ALTITUDE COUNSELING SERVICES LLC

Practice address

300 Garden of the Gods Rd Ste 200
Colorado Springs, CO 80907-4248

Phone

(719) 428-2952

NPI assigned

Aug 25, 2020

Last updated

Aug 25, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jadi Fergen, LPCCNPI 1093227670

Title

Counselor

Phone

(719) 428-2952

Specialties & licenses 1

Addresses

Locations

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.

• Jadi Fergen, MA, LPCC, NCC

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1093227670
  NPD Authorized official

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1255944781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GARDEN OF THE GODS RD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074248",
            "telephone_number": "719-428-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GARDEN OF THE GODS RD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074248",
            "telephone_number": "719-428-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTITUDE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "FERGEN",
        "authorized_official_first_name": "JADI",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "719-428-2952",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.