Individual provider Active NPI

Judith G Gainer, MA, LPC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1528212966
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0012735 Issued in CO
Practice address
5040 Corporate Plaza Dr Ste 4
Colorado Springs, CO 80919-6100
Phone
(719) 439-9297
NPI assigned
Nov 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0012735 CO Primary

Addresses

Primary practice location

5040 Corporate Plaza Dr Ste 4
Colorado Springs, CO 80919-6100

Mailing address

PO Box 76510
Colorado Springs, CO 80970-6510
Phone (719) 439-9297

Other practice location 1

5245 Centennial Blvd
Suite 200
Colorado Springs, CO 80919
Phone (719) 439-9297

Other identifiers 1

IdentifierTypeStateIssuer
81-3065331OtherCOCIGNA

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC.0012735COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Judith G Gainer, LPC Professional CurrentSince Jul 4, 2021 Accepting new patients

Locations

5040 Corporate Plaza Dr
Ste 4
Colorado Springs, CO 80919
Phone (719) 439-9297

5040 Corporate Plaza Dr
Ste 7
Colorado Springs, CO 80919
Phone (719) 301-6296

5245 Centennial Blvd
Ste 200
Colorado Springs, CO 80919
Phone (719) 684-4569

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1528212966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 76510",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809706510",
            "telephone_number": "719-439-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 CORPORATE PLAZA DR STE 4",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809196100",
            "telephone_number": "719-439-9297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5245 CENTENNIAL BLVD",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80919",
            "country_code": "US",
            "telephone_number": "719-439-9297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAINER",
        "first_name": "JUDITH",
        "middle_name": "G",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0012735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "81-3065331",
            "state": "CO"
        }
    ],
    "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 2, 2021; 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.