Rocky Trails Counseling PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ROCKY TRAILS COUNSELING PLLC

Practice address

801 N Weber St Ste 103
Colorado Springs, CO 80903-5927

Phone

(719) 345-7095

NPI assigned

Jul 14, 2022

Organization subpart

No

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

Authorized official

Name

Jenny Johnson, MA, LPC, LAC

Title

Private Practice Owner

Phone

(719) 345-7095

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1376277491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2057 BROOKWOOD DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N WEBER ST STE 103",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809035927",
            "telephone_number": "719-345-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY TRAILS COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "PRIVATE PRACTICE OWNER",
        "authorized_official_telephone_number": "719-345-7095",
        "authorized_official_credential": "MA, LPC, LAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000203832",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Michael Rode
• Angel Anthony Rodela, FNP-C

• Professional Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.