NPIMap

Organization Active NPI

Colorful Resilience LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Springfield, MA
National Provider Identifier
1669122289
Registry record updated Mar 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COLORFUL RESILIENCE LLC
Practice address
201 Park Ave Ste 9
West Springfield, MA 01089-3366
Phone
(413) 213-2979
NPI assigned
Mar 26, 2022
Last updated
Mar 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2022

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

Authorized official

Name
Mrs. Mayrena Guerrero, LMHCNPI 1083929533
Title
Founder & Ceo
Phone
(413) 213-2979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

201 Park Ave Ste 9
West Springfield, MA 01089-3366

Mailing address

201 Park Ave Ste 9
West Springfield, MA 01089-3366
Phone (413) 213-2979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240123001610 MA Part B Supplier - Clinic/Group Practice 1355793639 Receives reassigned benefits from 11 practitioners
Practice locations: West Springfield, MA

National Provider Directory

National Provider Directory

Locations

201 Park Ave
Ste 9
West Springfield, MA 01089
Phone (413) 206-6015

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1648252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648252800000",
    "number": "1669122289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK AVE STE 9",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893366",
            "telephone_number": "413-213-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PARK AVE STE 9",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893366",
            "telephone_number": "413-213-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORFUL RESILIENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-26",
        "last_updated": "2022-03-26",
        "certification_date": "2022-03-26",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "MAYRENA",
        "authorized_official_title_or_position": "FOUNDER & CEO",
        "authorized_official_telephone_number": "413-213-2979",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "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": []
}

Other providers in West Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2022; 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.