Active NPI
Mountaineer Counseling and Consulting, LLC
- Psychologist
- Colorado Springs, CO
National Provider Identifier
1477080430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2835
- Legal business name
- MOUNTAINEER COUNSELING AND CONSULTING, LLC
- Practice address
- 7855 Pine Cone Rd
Colorado Springs, CO 80908-6117 - Phone
- (719) 338-4665
- NPI assigned
- May 20, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David C. Solly, EDD
- Title
- Owner
- Phone
- (719) 338-4665
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2835 | CO | Primary |
Addresses
Primary practice location
7855 Pine Cone Rd
Colorado Springs, CO 80908-6117
Mailing address
7855 Pine Cone Rd
Colorado Springs, CO 80908-6117
Phone (719) 338-4665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2835 | Other | CO | PSYCHOLOGIST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170531001129 | CO | Part B Supplier - Clinic/Group Practice | 5698042372 |
Receives reassigned benefits from 1 practitioner Practice locations: Colorado Springs, CO |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1495238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736380800000",
"number": "1477080430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7855 PINE CONE RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809086117",
"telephone_number": "719-338-4665",
"fax_number": "719-548-8396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7855 PINE CONE RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809086117",
"telephone_number": "719-338-4665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAINEER COUNSELING AND CONSULTING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-20",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A",
"authorized_official_last_name": "SOLLY",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "719-338-4665",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "EDD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "CO",
"license": "2835",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGIST LICENSE",
"identifier": "2835",
"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 Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.