Active NPI
Teresa Jean Grant, LPC
- Professional Counselor
- Colorado Springs, CO
National Provider Identifier
1730601287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0015873
- Practice address
- 179 S Parkside Dr
Colorado Springs, CO 80910-3130 - Phone
- (719) 572-6162
- Fax
- (719) 572-6399
- NPI assigned
- Jul 15, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NLC.0107100 | CO | |
| Professional Counselor | 101YP2500X | LPC.0015873 | CO | Primary |
Addresses
Primary practice location
179 S Parkside Dr
Colorado Springs, CO 80910-3130
Mailing address
15001 E Oxford Ave
Aurora, CO 80014-4191
Phone (303) 693-1550
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NLC.0107100 | CO | MD | Mental Health Counselor |
| LPC.0015873 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576627200000",
"number": "1730601287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15001 E OXFORD AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800144191",
"telephone_number": "303-693-1550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 S PARKSIDE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809103130",
"telephone_number": "719-572-6162",
"fax_number": "719-572-6399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "TERESA",
"middle_name": "JEAN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-15",
"last_updated": "2019-12-18",
"certification_date": "2019-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "NLC.0107100",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0015873",
"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 Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.