Organization Active NPI

Monumental Therapy Group PLLC

  • Marriage & Family Therapist
  • Colorado Springs, CO
National Provider Identifier
1568049088
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MONUMENTAL THERAPY GROUP PLLC
Practice address
1235 Lake Plaza Dr Ste 125
Colorado Springs, CO 80906-3581
Phone
(719) 510-0624
Fax
(719) 576-0298
NPI assigned
Mar 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Authorized official

Name
Rebecca Brennan, MA LMFTNPI 1245584259
Title
Marriage and Family Therapist
Phone
(719) 510-0624

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
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1235 Lake Plaza Dr Ste 125
Colorado Springs, CO 80906-3581

Mailing address

1235 Lake Plaza Dr Ste 125
Colorado Springs, CO 80906-3581
Phone (719) 357-6175

Other practice location 1

1864 Woodmoor Dr Ste 202
Monument, CO 80132-7464
Phone (719) 510-0624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240603001219 CO Part B Supplier - Clinic/Group Practice 4789126020 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory
Tax ID family
Monumental Therapy Group PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1235 Lake Plaza Dr
Ste 130
Colorado Springs, CO 80906
Phone (719) 357-6175

1864 Woodmoor Dr
Ste 202
Monument, CO 80132
Phone (719) 482-6978

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": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1568049088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 LAKE PLAZA DR STE 125",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063581",
            "telephone_number": "719-357-6175",
            "fax_number": "719-576-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 LAKE PLAZA DR STE 125",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063581",
            "telephone_number": "719-510-0624",
            "fax_number": "719-576-0298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1864 Woodmoor Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Monument",
            "state": "CO",
            "postal_code": "801327464",
            "country_code": "US",
            "telephone_number": "719-510-0624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MONUMENTAL THERAPY GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "719-510-0624",
        "authorized_official_credential": "MA LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "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 Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.