NPIMap

Organization Active NPI

Phase Two Counseling Service

  • Health Maintenance Organization
  • Colorado Springs, CO
National Provider Identifier
1679896088
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
6148 Issued in CO
Legal business name
PHASE TWO COUNSELING SERVICE
Practice address
833 E Platte Ave
L-3
Colorado Springs, CO 80903-5512
Phone
(719) 473-1805
Fax
(719) 302-5324
NPI assigned
Mar 12, 2010
Last updated
Mar 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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

Authorized official

Name
Mrs. Margie R Jones-Dudley, MANPI 1235682113
Title
Sole Owner
Phone
(719) 473-1805

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 6148 CO Primary

Addresses

Primary practice location

833 E Platte Ave
L-3
Colorado Springs, CO 80903-5512

Mailing address

833 E Platte Ave
L-3
Colorado Springs, CO 80903-5512
Phone (719) 473-1805

National Provider Directory

National Provider Directory
Tax ID family
Phase Two Counseling Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

833 E Platte Ave
Ste L3
Colorado Springs, CO 80903
Phone (719) 473-1805

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1679896088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 E PLATTE AVE",
            "address_2": "L-3",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809035512",
            "telephone_number": "719-473-1805",
            "fax_number": "719-302-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 E PLATTE AVE",
            "address_2": "L-3",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809035512",
            "telephone_number": "719-473-1805",
            "fax_number": "719-302-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHASE TWO COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "JONES-DUDLEY",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "719-473-1805",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CO",
            "license": "6148",
            "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 Mar 12, 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.