Organization Active NPI

Pure Balance Health Systems

  • Community/Behavioral Health Agency
  • Colorado Springs, CO
National Provider Identifier
1609574532
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PURE BALANCE HEALTH SYSTEMS
Practice address
1240 De Reamer Cir
Colorado Springs, CO 80915-2202
Phone
(719) 649-5343
NPI assigned
Feb 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Authorized official

Name
Nina Elizabeth Geoffroy-Suppes, MSW, SWCNPI 1295433118
Title
Social Worker, Co-Owner
Phone
(209) 809-1517

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

1240 De Reamer Cir
Colorado Springs, CO 80915-2202

Mailing address

1240 De Reamer Cir
Colorado Springs, CO 80915-2202
Phone (719) 649-5343

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1609574532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 DE REAMER CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809152202",
            "telephone_number": "719-649-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 DE REAMER CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809152202",
            "telephone_number": "719-649-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE BALANCE HEALTH SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "GEOFFROY-SUPPES",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "SOCIAL WORKER, CO-OWNER",
        "authorized_official_telephone_number": "209-809-1517",
        "authorized_official_credential": "MSW, SWC"
    },
    "taxonomies": [
        {
            "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 Feb 20, 2023; 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.