Active NPI
Eva L Talbott, MA, LPC
- Mental Health Counselor
- Colorado Springs, CO
National Provider Identifier
1720135460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1677
- Practice address
- 115 S Parkside Drive
Colorado Springs, CO 80910 - Phone
- (719) 572-6340
- Fax
- (719) 447-4792
- NPI assigned
- Jan 4, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4413 | CO | |
| Mental Health Counselor | 101YM0800X | 1677 | CO | Primary |
Addresses
Primary practice location
115 S Parkside Drive
Colorado Springs, CO 80910
Mailing address
220 Ruskin Dr
Colorado Springs, CO 80910
Phone (719) 572-6100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128492 | Medicaid | CO | |
| 37907344 | Medicaid | CO |
Other names 1
- Eva L. Von Schriltz
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4413 | CO | MD | Physical Therapist |
| 1677 | CO | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290556800000",
"number": "1720135460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 RUSKIN DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80910",
"telephone_number": "719-572-6100",
"fax_number": "719-572-6080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 S PARKSIDE DRIVE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80910",
"telephone_number": "719-572-6340",
"fax_number": "719-447-4792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALBOTT",
"first_name": "EVA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2010-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "4413",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "1677",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128492",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "37907344",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EVA",
"last_name": "VON SCHRILTZ",
"middle_name": "L.",
"code": "1",
"type": "Former Name"
}
]
}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 Nov 24, 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.