Susan O'Leary Counseling, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SUSAN O'LEARY COUNSELING, PLLC

Practice address

6745 Rangewood Dr Ste 109
Colorado Springs, CO 80918-7332

Phone

(719) 649-2753

NPI assigned

Jul 26, 2024

Last updated

Jul 26, 2024By 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

Susan O'Leary, LPCNPI 1154880912

Title

Owner

Phone

(719) 649-2357

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 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.

• Susan Christine O'Leary, MA, LPC

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1154880912
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1659100964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6745 RANGEWOOD DR STE 109",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809187332",
            "telephone_number": "719-649-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6745 RANGEWOOD DR STE 109",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809187332",
            "telephone_number": "719-649-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN O'LEARY COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "O'LEARY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-649-2357",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Surprenant, LPC
• Surprise Valley Health and Wellness Inc (Surprise Valley Behavioral Health)
• Surprise Valley Health and Wellness Inc
• Matthew Nicholas Surratt, PTA
• Susan Dolan
• Alicia Marie Suschena, CCC-SLP
• Camille Susman
• Allison Sussman, OTR/L
• Kevin Susterka, PTA
• Scott T Suter, D.D.S.,M.S.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.