NPIMap

Organization Active NPI

Resilient Life Counseling Services, PLLC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1497460901
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RESILIENT LIFE COUNSELING SERVICES, PLLC
Practice address
727 Beacon Ridge Dr
Colorado Springs, CO 80905-8103
Phone
(719) 351-2216
NPI assigned
Jan 18, 2023
Last updated
Jan 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Authorized official

Name
Jessi Krebs Kovalik, MA, LPCNPI 1013484716
Title
Owner/Provider
Phone
(719) 351-2216

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

727 Beacon Ridge Dr
Colorado Springs, CO 80905-8103

Mailing address

1255 Lake Plaza Dr Ste 265
Colorado Springs, CO 80906-3587
Phone (719) 351-2216

National Provider Directory

National Provider Directory

Locations

1255 Lake Plaza Dr
Ste 265
Colorado Springs, CO 80906

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1497460901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 LAKE PLAZA DR STE 265",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063587",
            "telephone_number": "719-351-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 BEACON RIDGE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809058103",
            "telephone_number": "719-351-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT LIFE COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "KOVALIK",
        "authorized_official_first_name": "JESSI",
        "authorized_official_middle_name": "KREBS",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "719-351-2216",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "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 18, 2023; 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.