Organization Active NPI

Mending Hearts Family Counseling, LLC

  • Community/Behavioral Health Agency
  • Colorado Springs, CO
National Provider Identifier
1689002966
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPCC.0013421 Issued in CO
Legal business name
MENDING HEARTS FAMILY COUNSELING, LLC
Practice address
108 E Cheyenne Rd
Suite 207
Colorado Springs, CO 80906-2504
Phone
(719) 650-3921
NPI assigned
Oct 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Authorized official

Name
Carmina Blasko
Title
Owner
Phone
(719) 650-3921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LPCC.0013421 CO Primary

Addresses

Primary practice location

108 E Cheyenne Rd
Suite 207
Colorado Springs, CO 80906-2504

Mailing address

6309 Tenderfoot Dr
Colorado Springs, CO 80923-7401
Phone (719) 650-3921

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1689002966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 TENDERFOOT DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809237401",
            "telephone_number": "719-650-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E CHEYENNE RD",
            "address_2": "SUITE 207",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809062504",
            "telephone_number": "719-650-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING HEARTS FAMILY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "BLASKO",
        "authorized_official_first_name": "CARMINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-650-3921"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "LPCC.0013421",
            "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 Oct 23, 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.

Verify at the official NPI Registry.