Active NPI
Eva Marie Kolb, D.O.
- Child & Adolescent Psychiatry Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- DR.0061813
- Practice address
- 1795 Jet Wing Dr
Colorado Springs, CO 80916-2332 - Phone
- (719) 572-6100
- NPI assigned
- Apr 8, 2013
- Last updated
- Jan 13, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | DR.0061813 | CO | Primary |
Addresses
Primary practice location
1795 Jet Wing Dr
Colorado Springs, CO 80916-2332
Mailing address
220 Ruskin Dr
Colorado Springs, CO 80910-2522
Phone (719) 572-6100
Other practice location 1
13123 E 16th Ave
Aurora, CO 80045-7106
Phone (720) 777-1234
Other practice location 2
2860 S Circle Dr Ste 109
Colorado Springs, CO 80906-4195
Phone (719) 540-2146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
439 Edwards Access Rd
VHBH Wiegers Mental Health Clinic
Edwards, CO 81632-5634
Phone (970) 445-2489
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Valley Mental Health | Current | Accepting new patients | |
| Eagle Valley Mental Health | Current | Accepting new patients | |
| SSM Health Care St Louis | Current | Accepting new patients | |
| SSM Health Care St. Louis | Current | Accepting new patients | |
| Family Care Center, LLC | Current | Accepting new patients | |
| BJC Behavioral Health | Current | Accepting new patients | |
| Family Care Center, LLC | Current | Accepting new patients | |
| BJC Behavioral Health | Current | Accepting new patients | |
| Eagle Valley Mental Health | Current | Accepting new patients |
Locations
2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002
3715 Parkmoor Village Dr
Ste 102
Colorado Springs, CO 80917
Phone (719) 540-2127
439 Edwards Access Rd
Edwards, CO 81632
Phone (970) 455-2489
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
1085 Maple St
Farmington, MO 63640
Phone (573) 756-5353
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
3309 S Kingshighway Blvd
Saint Louis, MO 63139
Phone (314) 534-9350
Interoperability endpoints
- ekolb532355@direct-ehr-ssmhc.com
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Eagle Valley Behavioral Health
- Community/Behavioral Health Agency
- Edwards, CO
- NPI 1972267292
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Colorado Springs, CO
- NPI 1790141984
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saint Louis, MO
- NPI 1669485868
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Farmington, MO
- NPI 1801807847
-
dba SSM Health St Clare Fenton
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
-
dba Eagle Valley Behavioral Health
- Community/Behavioral Health Agency
- Dillon, CO
- NPI 1043057136
-
dba EVBH at Vail Health Hospital
- Community/Behavioral Health Agency
- Vail, CO
- NPI 1063210946
-
- Psychiatry Physician
- Mesa, AZ
- NPI 1598535288
-
dba SSM Health DePaul Hospital
- Cardiovascular Disease Physician
- Bridgeton, MO
- NPI 1376598599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673568000000",
"number": "1750724951",
"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": "809102522",
"telephone_number": "719-572-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1795 JET WING DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809162332",
"telephone_number": "719-572-6100"
}
],
"practiceLocations": [
{
"address_1": "13123 E 16th Ave",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800457106",
"country_code": "US",
"telephone_number": "720-777-1234",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2860 S Circle Dr Ste 109",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809064195",
"country_code": "US",
"telephone_number": "719-540-2146",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOLB",
"first_name": "EVA",
"middle_name": "MARIE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-08",
"last_updated": "2023-01-13",
"certification_date": "2023-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CO",
"license": "DR.0061813",
"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 Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.