Individual provider Active NPI

Deanna Carol Killgore, MA, LPC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1447719075
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0020927 Issued in CO
Practice address
5265 N Academy Blvd Ste 2600
Colorado Springs, CO 80918-4081
Phone
(719) 243-1970
NPI assigned
Mar 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0020927 CO Primary

Addresses

Primary practice location

5265 N Academy Blvd Ste 2600
Colorado Springs, CO 80918-4081

Mailing address

5265 N Academy Blvd Ste 2600
Colorado Springs, CO 80918-4081

Other names 1

  • Deanna Carol Pattison Former name

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
I20240920003179 CO Practitioner - Mental Health Counselor 2466993142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart Centered Counseling PCGroup PAC ID 8628373651, 296 clinicians

Practice addresses (Care Compare)

5265 N Academy Blvd
Suite 2600
Colorado Springs, CO 80918-4081
Phone (970) 310-3406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Counseling, PC Professional CurrentSince Sep 1, 2024 Accepting new patients
Heart Centered Counseling, PC Professional CurrentSince Sep 1, 2024 Accepting new patients
Heart Centered Counseling, PC Professional Current Accepting new patients

Locations

5265 N Academy Blvd
Ste 2600
Colorado Springs, CO 80918
Phone (719) 243-1970

1770 25th Ave
Ste 206
Greeley, CO 80634
Phone (303) 664-5281

Organizations & group practices 3

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": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1447719075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5265 N ACADEMY BLVD STE 2600",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5265 N ACADEMY BLVD STE 2600",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184081",
            "telephone_number": "719-243-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLGORE",
        "first_name": "DEANNA",
        "middle_name": "CAROL",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0020927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "PATTISON",
            "middle_name": "CAROL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.