Organization Active NPI

Emdr Center of the Pikes Peak Region, PLLC

  • Marriage & Family Therapist
  • Colorado Springs, CO
National Provider Identifier
1629660097
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
EMDR CENTER OF THE PIKES PEAK REGION, PLLC
Practice address
1326 Shasta Dr
Colorado Springs, CO 80910-1920
Phone
(719) 360-2440
NPI assigned
Feb 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Authorized official

Name
Dr. Lori Kucharski, PHD, LMFT-S, LPC
Title
Owner/Operator
Phone
(719) 360-2440

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1326 Shasta Dr
Colorado Springs, CO 80910-1920

Mailing address

1326 Shasta Dr
Colorado Springs, CO 80910-1920

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1629660097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 SHASTA DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809101920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 SHASTA DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809101920",
            "telephone_number": "719-360-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMDR CENTER OF THE PIKES PEAK REGION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "KUCHARSKI",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "719-360-2440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMFT-S, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-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 Feb 8, 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.