Active NPI
Reverie Counseling of Colorado PLLC
- Professional Counselor
- Colorado Springs, CO
National Provider Identifier
1407535388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- REVERIE COUNSELING OF COLORADO PLLC
- Practice address
- 1257 Lake Plaza Dr Ste 125
Colorado Springs, CO 80906-7303 - Phone
- (719) 200-2864
- NPI assigned
- Jul 17, 2023
- 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
- Erin Lair, LPC
- Title
- Owner
- Phone
- (719) 200-2864
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1257 Lake Plaza Dr Ste 125
Colorado Springs, CO 80906-7303
Mailing address
120 Kilgore St
Colorado Springs, CO 80911-2231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1257 Lake Plaza Dr
Ste 125
Colorado Springs, CO 80906
Phone (719) 200-2864
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Colorado Springs, CO
- NPI 1881291516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703721600000",
"number": "1407535388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 KILGORE ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809112231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1257 LAKE PLAZA DR STE 125",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809067303",
"telephone_number": "719-200-2864"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REVERIE COUNSELING OF COLORADO PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-17",
"last_updated": "2023-12-28",
"certification_date": "2023-12-28",
"status": "A",
"authorized_official_last_name": "LAIR",
"authorized_official_first_name": "ERIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "719-200-2864",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"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 Dec 28, 2023; 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.