Organization Active NPI

Marriage and Family Treatment Center

Doing business as Penrose St. Francis

  • Community/Behavioral Health Agency
  • Colorado Springs, CO
National Provider Identifier
1467599506
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
263 Issued in CO
Legal business name
MARRIAGE AND FAMILY TREATMENT CENTER
Doing business as
Penrose St. Francis
Practice address
218 E Cache la Poudre St
Colorado Springs, CO 80903-2903
Phone
(719) 520-1711
Fax
(719) 520-0236
NPI assigned
Jan 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Diane George Buscarello, LPC
Title
Psychotherapist
Phone
(719) 520-1711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 263 CO Primary

Addresses

Primary practice location

218 E Cache la Poudre St
Colorado Springs, CO 80903-2903

Mailing address

218 E Cache la Poudre St
Colorado Springs, CO 80903-2903
Phone (719) 520-1711

Other names 1

  • Penrose St. Francis Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467599506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 E CACHE LA POUDRE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032903",
            "telephone_number": "719-520-1711",
            "fax_number": "719-520-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E CACHE LA POUDRE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032903",
            "telephone_number": "719-520-1711",
            "fax_number": "719-520-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRIAGE AND FAMILY TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUSCARELLO",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "719-520-1711",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penrose St. Francis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.