Active NPI
Sacred Spirit Counseling and Wellness Center LLC
- Professional Counselor
- Colorado Springs, CO
National Provider Identifier
1730967498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- SACRED SPIRIT COUNSELING AND WELLNESS CENTER LLC
- Practice address
- 6278 John Muir TRL
Colorado Springs, CO 80927-4161 - Phone
- (727) 698-3804
- NPI assigned
- Sep 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Penelope J Hazinakis-Swainston, LPC
- Title
- Ceo
- Phone
- (719) 350-6600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
6278 John Muir TRL
Colorado Springs, CO 80927-4161
Mailing address
6278 John Muir TRL
Colorado Springs, CO 80927-4161
Phone (727) 698-3804
National Provider Directory
National Provider DirectoryLocations
5525 Erindale Dr
Ste 105
Colorado Springs, CO 80918
Phone (719) 350-6600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706832000000",
"number": "1730967498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6278 JOHN MUIR TRL",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809274161",
"telephone_number": "727-698-3804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6278 JOHN MUIR TRL",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809274161",
"telephone_number": "727-698-3804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SACRED SPIRIT COUNSELING AND WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-14",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A",
"authorized_official_last_name": "HAZINAKIS-SWAINSTON",
"authorized_official_first_name": "PENELOPE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "719-350-6600",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"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 Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.