Organization Active NPI

Equi-Sense

  • Mental Health Counselor
  • Penrose, CO
National Provider Identifier
1265747844
Registry record updated Aug 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
831 Issued in CO
Legal business name
EQUI-SENSE
Practice address
645 4TH St
Penrose, CO 81240-9709
Phone
(719) 214-3355
Fax
(719) 372-3026
NPI assigned
Aug 8, 2010
Last updated
Aug 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2010

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

Authorized official

Name
Mr. Jerry L Snyder
Title
Owner
Phone
(719) 214-3355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 831 CO Primary

Addresses

Primary practice location

645 4TH St
Penrose, CO 81240-9709

Mailing address

645 4TH St
Penrose, CO 81240-9709
Phone (719) 214-3355

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1281225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281225600000",
    "number": "1265747844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 4TH ST",
            "city": "PENROSE",
            "state": "CO",
            "postal_code": "812409709",
            "telephone_number": "719-214-3355",
            "fax_number": "719-372-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 4TH ST",
            "city": "PENROSE",
            "state": "CO",
            "postal_code": "812409709",
            "telephone_number": "719-214-3355",
            "fax_number": "719-372-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUI-SENSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-08",
        "last_updated": "2010-08-08",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-214-3355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2010; 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.