Active NPI
Converge Lecture Series
- Mental Health Counselor
- Colorado Springs, CO
National Provider Identifier
1356932057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CONVERGE LECTURE SERIES
- Practice address
- 601 S Institute St Unit 3
Colorado Springs, CO 80903-4743 - Phone
- (719) 210-3726
- NPI assigned
- Jan 27, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel Stephenson, MSW
- Title
- Executive Director
- Phone
- (719) 210-3726
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
601 S Institute St Unit 3
Colorado Springs, CO 80903-4743
Mailing address
601 S Institute St Unit 3
Colorado Springs, CO 80903-4743
Phone (719) 210-3726
National Provider Directory
National Provider DirectoryLocations
601 S Institute St
Unit 3
Colorado Springs, CO 80903
Phone (719) 210-3726
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": "1611705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611705600000",
"number": "1356932057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S INSTITUTE ST UNIT 3",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809034743",
"telephone_number": "719-210-3726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S INSTITUTE ST UNIT 3",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809034743",
"telephone_number": "719-210-3726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONVERGE LECTURE SERIES",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-27",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A",
"authorized_official_last_name": "STEPHENSON",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "719-210-3726",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"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 Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.