Organization Active NPI

Kairos Family Services, LLC

  • Community/Behavioral Health Agency
  • Colorado Springs, CO
National Provider Identifier
1508381203
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KAIROS FAMILY SERVICES, LLC
Practice address
7660 Goddard St Ste 258
Colorado Springs, CO 80920-8237
Phone
(209) 304-3444
NPI assigned
Aug 3, 2017
Last updated
Oct 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Authorized official

Name
Marilyn Denise Puryear, LCSWNPI 1568747442
Title
Executive Director
Phone
(719) 238-7908

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7660 Goddard St Ste 258
Colorado Springs, CO 80920-8237

Mailing address

13170 Crane Canyon Loop
Colorado Springs, CO 80921-7222
Phone (719) 238-7908

Other practice location 1

13170 Crane Canyon Loop
Colorado Springs, CO 80921-7222
Phone (209) 304-3444

National Provider Directory

National Provider Directory

Locations

7660 Goddard St
Ste 258
Colorado Springs, CO 80920
Phone (209) 304-3444

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540857600000",
    "number": "1508381203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13170 CRANE CANYON LOOP",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809217222",
            "telephone_number": "719-238-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7660 GODDARD ST STE 258",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809208237",
            "telephone_number": "209-304-3444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13170 Crane Canyon Loop",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809217222",
            "country_code": "US",
            "telephone_number": "209-304-3444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAIROS FAMILY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2018-10-30",
        "status": "A",
        "authorized_official_last_name": "PURYEAR",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "719-238-7908",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Oct 30, 2018; 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.