Connections Clinical & Consulting Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC0003490 Issued in CO

Legal business name

CONNECTIONS CLINICAL & CONSULTING SERVICES, LLC

Practice address

10 Boulder Crescent St Ste 204D
Colorado Springs, CO 80903-3355

Phone

(719) 471-3005

Fax

(719) 208-3293

NPI assigned

Jun 5, 2018

Organization subpart

No

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

Authorized official

Name

Patrick S Shargel, LPC

Title

Owner/Therapist

Phone

(719) 471-3005

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1295227262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BOULDER CRESCENT ST STE 204D",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033355",
            "telephone_number": "719-471-3005",
            "fax_number": "719-208-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BOULDER CRESCENT ST STE 204D",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033355",
            "telephone_number": "719-471-3005",
            "fax_number": "719-208-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIONS CLINICAL & CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "SHARGEL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "719-471-3005",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC0003490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "533512",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.