NPIMap

Organization Active NPI

Spectrum of Light Family Services, LLC

  • Community/Behavioral Health Agency
  • Pueblo, CO
National Provider Identifier
1548833130
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SPECTRUM OF LIGHT FAMILY SERVICES, LLC
Practice address
3181 E Spaulding Ave Apt 103
Pueblo, CO 81008-2251
Phone
(719) 246-9880
NPI assigned
Jul 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Authorized official

Name
Jenna SprongNPI 1700371622
Title
Owner
Phone
(719) 246-9880

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3181 E Spaulding Ave Apt 103
Pueblo, CO 81008-2251

Mailing address

3181 E Spaulding Ave Apt 103
Pueblo, CO 81008-2251

National Provider Directory

National Provider Directory
Tax ID family
Spectrum of Light Family Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1548833130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 E SPAULDING AVE APT 103",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 E SPAULDING AVE APT 103",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082251",
            "telephone_number": "719-246-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM OF LIGHT FAMILY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "SPRONG",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-246-9880"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

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