NPIMap

Organization Active NPI

Canon City Counseling, Inc

  • Professional Counselor
  • Canon City, CO
National Provider Identifier
1477700565
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2425 Issued in CO
Legal business name
CANON CITY COUNSELING, INC
Practice address
224 N Cottonwood Ave
Canon City, CO 81212-2507
Phone
(719) 276-0292
Fax
(719) 276-0292
NPI assigned
Aug 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Authorized official

Name
Mrs. Sally Jean Chapman, LPCNPI 1164673166
Title
President
Phone
(719) 276-0292

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 5044 CO
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 6391 CO
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 2425 CO Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 3037 CO

Addresses

Primary practice location

224 N Cottonwood Ave
Canon City, CO 81212-2507

Mailing address

224 N Cottonwood Ave
Canon City, CO 81212-2507
Phone (719) 276-0292

National Provider Directory

National Provider Directory

Locations

224 N Cottonwood Ave
Canon City, CO 81212
Phone (719) 276-0292

Practitioners & affiliated clinicians

Practitioners 3

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": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1477700565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 N COTTONWOOD AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122507",
            "telephone_number": "719-276-0292",
            "fax_number": "719-276-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 N COTTONWOOD AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122507",
            "telephone_number": "719-276-0292",
            "fax_number": "719-276-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANON CITY COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-276-0292",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "5044",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "6391",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "2425",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "3037",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.