Individual provider Active NPI

Pema Coleman White, M.ED, LPC, LAC

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1548880792
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0016115 Issued in CO
Practice address
5225 N Academy Blvd Ste 105
Colorado Springs, CO 80918-4097
Phone
(719) 357-7504
NPI assigned
Apr 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X LPC.0016115 CO Primary

Addresses

Primary practice location

5225 N Academy Blvd Ste 105
Colorado Springs, CO 80918-4097

Mailing address

5225 N Academy Blvd Ste 105
Colorado Springs, CO 80918-4097
Phone (719) 357-7504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250804003185 CO Practitioner - Mental Health Counselor 8325556038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Compassion Collaborative, LLCGroup PAC ID 7911343173, 5 clinicians

Practice addresses (Care Compare)

5225 N Academy Blvd
Suite 105
Colorado Springs, CO 80918-4097
Phone (719) 357-7504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
LPC.0016115COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Compassion Collaborative, LLC Mental Health CurrentSince Jul 23, 2025 Accepting new patients
Savio House, Inc. PastSince Apr 1, 2020 Accepting new patients
Life Works Counseling PastSince Nov 19, 2023 Accepting new patients

Locations

5225 N Academy Blvd
Ste 105
Colorado Springs, CO 80918
Phone (719) 357-7504

Organizations & group practices 3

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": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1548880792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 N ACADEMY BLVD STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184097",
            "telephone_number": "719-357-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 N ACADEMY BLVD STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184097",
            "telephone_number": "719-357-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "PEMA",
        "middle_name": "COLEMAN",
        "credential": "M.ED, LPC, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0016115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.