Active NPI
Terry Dewayne Klein, LMFT
- Mental Health Counselor
- Colorado Springs, CO
National Provider Identifier
1275093080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFT370
- Practice address
- 7750 N Union Blvd Ste 208
Colorado Springs, CO 80920-4051 - Phone
- (714) 599-8888
- NPI assigned
- Mar 20, 2019
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFT370 | CO | Primary |
Addresses
Primary practice location
7750 N Union Blvd Ste 208
Colorado Springs, CO 80920-4051
Mailing address
3645 Powell PT Apt 105
Colorado Springs, CO 80922-2841
Phone (719) 232-2075
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 |
|---|---|---|---|
| MFT370 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553040000000",
"number": "1275093080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3645 POWELL PT APT 105",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809222841",
"telephone_number": "719-232-2075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7750 N UNION BLVD STE 208",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809204051",
"telephone_number": "714-599-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "TERRY",
"middle_name": "DEWAYNE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-20",
"last_updated": "2019-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "MFT370",
"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 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.