Individual provider Active NPI

Colleen Evans, LMFT

  • Marriage & Family Therapist
  • Colorado Springs, CO
National Provider Identifier
1427416445
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2598 Issued in CO
Practice address
3204 N Academy Blvd Ste 200
Colorado Springs, CO 80917-5163
Phone
(719) 510-7056
Fax
(614) 656-6614
NPI assigned
Feb 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2598 CO Primary

Addresses

Primary practice location

3204 N Academy Blvd Ste 200
Colorado Springs, CO 80917-5163

Mailing address

PO Box 351
Convoy, OH 45832-0351
Phone (719) 510-7056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250122000585 CO Practitioner - Marriage and Family Therapist 9537530241 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2598COMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sasa PLLC Marriage & Family Therapist CurrentSince Dec 18, 2024 Accepting new patients
Ppsoc PLLC Mental Health CurrentSince Feb 19, 2022 Accepting new patients

Locations

3204 N Academy Blvd
Ste 200
Colorado Springs, CO 80917
Phone (719) 510-7056

3585 Van Teylingen Dr
Ste C
Colorado Springs, CO 80917
Phone (719) 510-7056

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1427416445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351",
            "city": "CONVOY",
            "state": "OH",
            "postal_code": "458320351",
            "telephone_number": "719-510-7056",
            "fax_number": "614-656-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 N ACADEMY BLVD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175163",
            "telephone_number": "719-510-7056",
            "fax_number": "614-656-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "COLLEEN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-04",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "2598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.