Active NPI
Theresa Vera
- Professional Counselor
- Colorado Springs, CO
National Provider Identifier
1508380791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 13566
- Practice address
- 3100 N Academy Blvd Ste 109
Colorado Springs, CO 80917-5331 - Phone
- (719) 473-6612
- Fax
- (719) 473-6612
- NPI assigned
- Jul 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 13566 | CO | Primary |
Addresses
Primary practice location
3100 N Academy Blvd Ste 109
Colorado Springs, CO 80917-5331
Mailing address
3370 Bridgewater Dr
Colorado Springs, CO 80916-4413
Phone (719) 337-5915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13566 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501200000000",
"number": "1508380791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3370 BRIDGEWATER DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809164413",
"telephone_number": "719-337-5915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 N ACADEMY BLVD STE 109",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809175331",
"telephone_number": "719-473-6612",
"fax_number": "719-473-6612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERA",
"first_name": "THERESA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-28",
"last_updated": "2017-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "13566",
"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 Jul 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.