Active NPI
Heidi Clarice York, LPC
- Professional Counselor
- Colorado Springs, CO
National Provider Identifier
1639292303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3410
- Practice address
- 27 W Cimarron St # 4
Colorado Springs, CO 80903-3938 - Phone
- (719) 248-8276
- NPI assigned
- Apr 9, 2007
- Last updated
- Feb 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3410 | CO | Primary |
Addresses
Primary practice location
27 W Cimarron St # 4
Colorado Springs, CO 80903-3938
Mailing address
2426 Court St
Pueblo, CO 81003-2428
Phone (719) 542-3213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11809672 | Other | CO | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3410 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204243200000",
"number": "1639292303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2426 COURT ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032428",
"telephone_number": "719-542-3213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 W CIMARRON ST # 4",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809033938",
"telephone_number": "719-248-8276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YORK",
"first_name": "HEIDI",
"middle_name": "CLARICE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2008-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "3410",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11809672",
"state": "CO"
}
],
"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 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.