Active NPI
Christina Louise Sepulveda, LPC
- Professional Counselor
- Colorado Springs, CO
National Provider Identifier
1679874846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5859
- Practice address
- 5376 Tomah Dr Ste 101
Colorado Springs, CO 80918-6967 - Phone
- (719) 332-6011
- NPI assigned
- Nov 4, 2010
- 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 | 5859 | CO | Primary |
Addresses
Primary practice location
5376 Tomah Dr Ste 101
Colorado Springs, CO 80918-6967
Mailing address
12703 Pine Valley Cir
Peyton, CO 80831-4010
Phone (719) 332-6011
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 |
|---|---|---|---|
| 5859 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367280000000",
"number": "1679874846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12703 PINE VALLEY CIR",
"city": "PEYTON",
"state": "CO",
"postal_code": "808314010",
"telephone_number": "719-332-6011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5376 TOMAH DR STE 101",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809186967",
"telephone_number": "719-332-6011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEPULVEDA",
"first_name": "CHRISTINA",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-04",
"last_updated": "2013-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "5859",
"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 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.