Warrior Support Center

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3842 Issued in CO

Legal business name

WARRIOR SUPPORT CENTER

Practice address

313 N Tejon St
Suite 15
Colorado Springs, CO 80903-1243

Phone

(719) 640-5445

Fax

(719) 687-1894

NPI assigned

May 29, 2009

Organization subpart

No

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

Authorized official

Name

Brian Kenneth Duncan, LPC, CACIII

Title

President

Phone

(719) 640-5445

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1487880837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49158",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809499158",
            "telephone_number": "719-640-5445",
            "fax_number": "719-687-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 N TEJON ST",
            "address_2": "SUITE 15",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031243",
            "telephone_number": "719-640-5445",
            "fax_number": "719-687-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARRIOR SUPPORT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-640-5445",
        "authorized_official_credential": "LPC, CACIII"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "3842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.