Organization Active NPI

Mindcolor Autism Texas LLC

  • Community/Behavioral Health Agency
  • Colorado Springs, CO
National Provider Identifier
1710528039
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MINDCOLOR AUTISM TEXAS LLC
Practice address
2225 Executive Circle
Suite 100
Colorado Springs, CO 80906-4137
Phone
(833) 646-3222
Fax
(833) 646-3222
NPI assigned
Oct 8, 2019
Last updated
Aug 29, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MINDCOLOR AUTISM GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Heng Li
Title
Founder
Phone
(833) 646-3222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

2225 Executive Circle
Suite 100
Colorado Springs, CO 80906-4137

Mailing address

224 W 35TH St Ste 500
New York, NY 10001-2538
Phone (833) 646-3222

National Provider Directory

National Provider Directory
Tax ID family
Mindcolor Autism Texas LLC2 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

2225 Executive Cir
Ste 100
Colorado Springs, CO 80906

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1710528039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 W 35TH ST STE 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012538",
            "telephone_number": "833-646-3222",
            "fax_number": "833-646-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 EXECUTIVE CIRCLE",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064137",
            "telephone_number": "833-646-3222",
            "fax_number": "833-646-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDCOLOR AUTISM TEXAS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINDCOLOR AUTISM GROUP LLC",
        "enumeration_date": "2019-10-08",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-27",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "HENG",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "833-646-3222"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "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 Aug 29, 2022; 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.