Active NPI
Matt Valente
- Counseling Psychologist
- Colorado Springs, CO
National Provider Identifier
1265807010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- NLC.0013203
- Practice address
- 1465 Kelly Johnson Blvd
Suite 210
Colorado Springs, CO 80920-3955 - Phone
- (719) 964-6517
- NPI assigned
- Dec 4, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | NLC.0013203 | CO | Primary |
Addresses
Primary practice location
1465 Kelly Johnson Blvd
Suite 210
Colorado Springs, CO 80920-3955
Mailing address
1465 Kelly Johnson Blvd
Suite 210
Colorado Springs, CO 80920-3955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NLC.0013203 | CO | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458000000000",
"number": "1265807010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1465 KELLY JOHNSON BLVD",
"address_2": "SUITE 210",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809203955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1465 KELLY JOHNSON BLVD",
"address_2": "SUITE 210",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809203955",
"telephone_number": "719-964-6517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTE",
"first_name": "MATT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-04",
"last_updated": "2016-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CO",
"license": "NLC.0013203",
"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 Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.