Centro de la Familia

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CSW-991418 Issued in CO

Legal business name

CENTRO DE LA FAMILIA

Practice address

1645 S Murray Blvd
Colorado Springs, CO 80916-4502

Phone

(719) 238-8638

Fax

(719) 227-9185

NPI assigned

Nov 20, 2012

Last updated

Sep 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lucia Guillen, M.A

Title

Executive Director

Phone

(719) 238-8638

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Ann Carter

  • Clinical Social Worker
  • Colorado Springs, CO
  • NPI 1205067832
  NPD (past)

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1639413248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15005",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809355005",
            "telephone_number": "719-238-8638",
            "fax_number": "719-227-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 S MURRAY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809164502",
            "telephone_number": "719-238-8638",
            "fax_number": "719-227-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE LA FAMILIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "GUILLEN",
        "authorized_official_first_name": "LUCIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "719-238-8638",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "CSW-991418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007528",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.