Active NPI
Equi-Sense
- Mental Health Counselor
- Penrose, CO
National Provider Identifier
1265747844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 831
- 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, 2010
- 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
- Mr. Jerry L Snyder
- Title
- Owner
- Phone
- (719) 214-3355
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryNPI 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.