Deaf Mountain, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

DEAF MOUNTAIN, PLLC

Practice address

2790 N Academy Blvd Ste 337
Colorado Springs, CO 80917-5328

Phone

(719) 445-6104

NPI assigned

Aug 10, 2023

Organization subpart

No

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

Authorized official

Name

Brenda Dalen

Title

Owner

Phone

(719) 425-3374

Specialties & licenses 2

Addresses

Practitioners 1

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

• Tanya Laray Balduff, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
  • NPI 1669981478
  NPD

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1407539885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 N ACADEMY BLVD STE 337",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175328",
            "telephone_number": "719-445-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 N ACADEMY BLVD STE 337",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175328",
            "telephone_number": "719-445-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAF MOUNTAIN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "DALEN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-425-3374"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie De Moss
• Samantha De Naray, COTA
• Gonzalo De Taboada, PA-C
• Jocelyn Torres De Yao, M.D.
• Jason Deabueno, MSW, LCSW
• Jason L Deal, D.C.
• Dean Chiropractic PC
• Aimee Dean
• Christopher Ray Dean, DPT
• Dashon Dean

• Mental Health Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.