Vivus Counseling Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0014711 Issued in CO

Legal business name

VIVUS COUNSELING SERVICES LLC

Practice address

108 East Cheyenne Rd Suite 201
Colorado Springs, CO 80906

Phone

(719) 359-3431

NPI assigned

Sep 1, 2018

Last updated

Oct 31, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eronilde Chaves Buckley, MA, LPC, LACNPI 1093297780

Title

Licensed Professional Counselor

Phone

(719) 359-3431

Specialties & licenses 2

Addresses

Locations

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.

• Eronilde Chaves Buckley, MA, LPC, LAC, NCC

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1093297780
  NPD Authorized official

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

{
    "created_epoch": "1535760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1316429756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E CHEYENNE RD STE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809062535",
            "telephone_number": "719-359-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 EAST CHEYENNE RD SUITE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80906",
            "telephone_number": "719-359-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVUS COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-01",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "ERONILDE",
        "authorized_official_middle_name": "CHAVES",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "719-359-3431",
        "authorized_official_credential": "MA, LPC, LAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "0000874",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0014711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.