Organization Active NPI

Centered Psychology

  • Psychologist
  • Colorado Springs, CO
National Provider Identifier
1326892829
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CENTERED PSYCHOLOGY
Practice address
445 E Cheyenne Mountain Blvd
Colorado Springs, CO 80906-1528
Phone
(719) 349-5774
NPI assigned
Apr 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Dr. Kimberly Koessel, PHDNPI 1609122365
Title
Licensed Psychologist
Phone
(719) 349-5772

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

445 E Cheyenne Mountain Blvd
Colorado Springs, CO 80906-1528

Mailing address

445 E. Cheyenne MTN Blvd, Ste C
#123
Colorado Springs, CO 80906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240610002205 CO Part B Supplier - Clinic/Group Practice 6204378995 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

445 E Cheyenne Mountain Blvd
Ste C123
Colorado Spgs, CO 80906

445 E Cheyenne Mountain Blvd
Ste C
Colorado Springs, CO 80906
Phone (719) 331-3929

5350 Tomah Dr
Ste 1100
Colorado Springs, CO 80918
Phone (719) 466-6854

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1326892829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 E. CHEYENNE MTN BLVD, STE C",
            "address_2": "#123",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E CHEYENNE MOUNTAIN BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809061528",
            "telephone_number": "719-349-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERED PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "KOESSEL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "719-349-5772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "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 Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.