Organization Active NPI

Premier Counseling Center, LLC

  • Marriage & Family Therapist
  • Colorado Springs, CO
National Provider Identifier
1639406663
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT893 Issued in CO
Legal business name
PREMIER COUNSELING CENTER, LLC
Practice address
3920 N Union Blvd
Suite 370
Colorado Springs, CO 80907-4900
Phone
(719) 388-0194
Fax
(719) 522-1168
NPI assigned
Nov 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

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

Authorized official

Name
Stacie Bryant, LMFT
Title
President
Phone
(719) 388-0194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFT893 CO Primary

Addresses

Primary practice location

3920 N Union Blvd
Suite 370
Colorado Springs, CO 80907-4900

Mailing address

PO Box 63312
Colorado Springs, CO 80962-3312
Phone (719) 388-0194

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": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271894400000",
    "number": "1639406663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63312",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809623312",
            "telephone_number": "719-388-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 N UNION BLVD",
            "address_2": "SUITE 370",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074900",
            "telephone_number": "719-388-0194",
            "fax_number": "719-522-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2010-04-22",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "STACIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-388-0194",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT893",
            "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 Apr 22, 2010; 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.