NPIMap

Organization Active NPI

Phase Two Counseling Service

  • Addiction (Substance Use Disorder) Counselor
  • Colorado Springs, CO
National Provider Identifier
1447519053
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
6148
Legal business name
PHASE TWO COUNSELING SERVICE
Practice address
2019 E Bijou St
Suite #1
Colorado Springs, CO 80909-5818
Phone
(719) 473-1805
Fax
(719) 302-5324
NPI assigned
May 16, 2012
Last updated
May 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Margie R. Jones-Dudley, MA CCBT, CAC IIINPI 1235682113
Title
Owner/Driector
Phone
(719) 473-1805

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 6148 Primary

Addresses

Primary practice location

2019 E Bijou St
Suite #1
Colorado Springs, CO 80909-5818

Mailing address

2019 E Bijou St
Suite #1
Colorado Springs, CO 80909-5818
Phone (719) 473-1805

Other identifiers 1

IdentifierTypeStateIssuer
141948MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Phase Two Counseling Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2019 E Bijou St
Ste 1
Colorado Springs, CO 80909
Phone (719) 473-1805

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1447519053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 E BIJOU ST",
            "address_2": "SUITE #1",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095818",
            "telephone_number": "719-473-1805",
            "fax_number": "719-302-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 E BIJOU ST",
            "address_2": "SUITE #1",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095818",
            "telephone_number": "719-473-1805",
            "fax_number": "719-302-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHASE TWO COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "JONES-DUDLEY",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/DRIECTOR",
        "authorized_official_telephone_number": "719-473-1805",
        "authorized_official_credential": "MA  CCBT, CAC III"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "6148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141948",
            "state": "CO"
        }
    ],
    "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 May 16, 2012; 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.