Organization Active NPI

Bright Space Counseling

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1417645557
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BRIGHT SPACE COUNSELING
Practice address
1221 Lake Plaza Dr Ste a
Colorado Springs, CO 80906-7400
Phone
(719) 645-5637
NPI assigned
Apr 26, 2023
Organization subpart
Yes
Parent organization
BRIGHT SPACE COUNSELINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Maria Del Pilar Berger
Title
Owner
Phone
(719) 645-5637

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X

Addresses

Primary practice location

1221 Lake Plaza Dr Ste a
Colorado Springs, CO 80906-7400

Mailing address

1611 S Murray Blvd
Colorado Springs, CO 80916-4502
Phone (719) 645-5637

National Provider Directory

National Provider Directory
Tax ID family
Bright Space CNSL Ctr5 organizations share this tax ID, including this one
Part of
Bright Space CNSL Ctr

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1221 Lake Plaza Dr
Ste A
Colorado Springs, CO 80906
Phone (719) 309-6396

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1417645557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 S MURRAY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809164502",
            "telephone_number": "719-645-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 LAKE PLAZA DR STE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809067400",
            "telephone_number": "719-645-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT SPACE COUNSELING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIGHT SPACE COUNSELING",
        "enumeration_date": "2023-04-26",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "DEL PILAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-645-5637"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 2, 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.