Active NPI
Bobbie Warren
- Mental Health Counselor
- Colorado Springs, CO
National Provider Identifier
1710271176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0011290
- Practice address
- 157 Fontaine Blvd
Colorado Springs, CO 80911-2110 - Phone
- (719) 213-3673
- Fax
- (719) 694-9525
- NPI assigned
- Jun 2, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0011290 | CO | Primary |
Addresses
Primary practice location
157 Fontaine Blvd
Colorado Springs, CO 80911-2110
Mailing address
157 Fontaine Blvd
Colorado Springs, CO 80911-2110
Phone (719) 213-3673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0011290 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nexus Counseling Services | Professional | Current | Accepting new patients |
| Nexus Counseling Services | Mental Health | Current | Accepting new patients |
Locations
157 Fontaine Blvd
Colorado Springs, CO 80911
Phone (719) 388-3558
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Fountain, CO
- NPI 1174377857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1710271176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 FONTAINE BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809112110",
"telephone_number": "719-213-3673",
"fax_number": "719-694-9525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 FONTAINE BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809112110",
"telephone_number": "719-213-3673",
"fax_number": "719-694-9525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "BOBBIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-02",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "0011290",
"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 Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.