Organization Active NPI

Seed of Change Counseling and Neurotherapy, PLLC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1437666096
Registry record updated Jan 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0012243 Issued in CO
Legal business name
SEED OF CHANGE COUNSELING AND NEUROTHERAPY, PLLC
Practice address
2906 Beacon St Ste B
Colorado Springs, CO 80907-6193
Phone
(719) 629-8574
Fax
(719) 213-2839
NPI assigned
Jan 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2018

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

Authorized official

Name
Dr. Amy Long, PSY.D, LPCNPI 1043689219
Title
Owner/Therapist
Phone
(719) 629-8574

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LPC.0012243 CO Primary

Addresses

Primary practice location

2906 Beacon St Ste B
Colorado Springs, CO 80907-6193

Mailing address

2906 Beacon St Ste B
Colorado Springs, CO 80907-6193
Phone (719) 629-8574

National Provider Directory

National Provider Directory

Locations

2906 Beacon St
Ste B
Colorado Springs, CO 80907
Phone (719) 629-8574

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515024000000",
    "number": "1437666096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 BEACON ST STE B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076193",
            "telephone_number": "719-629-8574",
            "fax_number": "719-213-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 BEACON ST STE B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076193",
            "telephone_number": "719-629-8574",
            "fax_number": "719-213-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEED OF CHANGE COUNSELING AND NEUROTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-01-04",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "719-629-8574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0012243",
            "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 Jan 4, 2018; 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.