Organization Active NPI

Fulcrum Counseling, Inc.

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1285053280
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFT0001117 Issued in CO
Legal business name
FULCRUM COUNSELING, INC.
Practice address
422 E Vermijo Ave Ste 211
Colorado Springs, CO 80903-3778
Phone
(719) 232-0176
Fax
(719) 219-6200
NPI assigned
Apr 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Authorized official

Name
Stacy Mesias, LMFTNPI 1700152121
Title
Therapist
Phone
(719) 232-0642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MFT0001117 CO Primary

Addresses

Primary practice location

422 E Vermijo Ave Ste 211
Colorado Springs, CO 80903-3778

Mailing address

422 E Vermijo Ave Ste 211
Colorado Springs, CO 80903-3778
Phone (719) 232-0176

National Provider Directory

National Provider Directory

Locations

422 E Vermijo Ave
Ste 211
Colorado Springs, CO 80903
Phone (719) 232-0176

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1285053280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 E VERMIJO AVE STE 211",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033778",
            "telephone_number": "719-232-0176",
            "fax_number": "719-219-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 E VERMIJO AVE STE 211",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033778",
            "telephone_number": "719-232-0176",
            "fax_number": "719-219-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULCRUM COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "MESIAS",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "719-232-0642",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "MFT0001117",
            "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 Apr 8, 2014; 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.