Active NPI
Christina Faith McKenna
- Counselor
- Colorado Springs, CO
National Provider Identifier
1467213595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0021146
- Practice address
- 7375 Adventure Way
Colorado Springs, CO 80923-5000 - Phone
- (719) 401-2986
- NPI assigned
- Jan 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0021146 | CO | Primary |
Addresses
Primary practice location
7375 Adventure Way
Colorado Springs, CO 80923-5000
Mailing address
7375 Adventure Way
Colorado Springs, CO 80923-5000
Phone (719) 401-2986
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1003 Alabaster CV
Sanford, FL 32771-3607
259 E Oakdale Ave
Crestview, FL 32539-3547
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0021146 | CO | MD | Counselor |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Crestview, FL
- NPI 1164747739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1467213595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7375 ADVENTURE WAY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809235000",
"telephone_number": "719-401-2986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7375 ADVENTURE WAY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809235000",
"telephone_number": "719-401-2986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENNA",
"first_name": "CHRISTINA",
"middle_name": "FAITH",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-16",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "0021146",
"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 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.