Organization Active NPI

Sacred Spirit Counseling and Wellness Center LLC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1730967498
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Feb 2, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.