Active NPI
Dragonfly Landing Family Services, PLLC
- Mental Health Counselor
- Colorado Springs, CO
National Provider Identifier
1780437012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- DRAGONFLY LANDING FAMILY SERVICES, PLLC
- Practice address
- 2270 La Montana Way Ste 200
Colorado Springs, CO 80918-6735 - Phone
- (719) 660-5798
- NPI assigned
- Apr 8, 2024
- 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
- Kebrina Chirdon, BSW
- Title
- Owner
- Phone
- (719) 660-5798
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2270 La Montana Way Ste 200
Colorado Springs, CO 80918-6735
Mailing address
2270 La Montana Way Ste 200
Colorado Springs, CO 80918-6735
Phone (719) 660-5798
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241029000279 | CO | Part B Supplier - Clinic/Group Practice | 5294268306 |
Receives reassigned benefits from 1 practitioner Practice locations: Colorado Springs, CO |
National Provider Directory
National Provider Directory- Tax ID family
- Dragonfly Landing Family Services PLLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Colorado Springs, CO
- NPI 1114883337
-
- Mental Health Counselor
- Colorado Springs, CO
- NPI 1669265211
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Greeley, CO
- NPI 1609975101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712534400000",
"number": "1780437012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2270 LA MONTANA WAY STE 200",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809186735",
"telephone_number": "719-660-5798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2270 LA MONTANA WAY STE 200",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809186735",
"telephone_number": "719-660-5798"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRAGONFLY LANDING FAMILY SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-08",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A",
"authorized_official_last_name": "CHIRDON",
"authorized_official_first_name": "KEBRINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "719-660-5798",
"authorized_official_credential": "BSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"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 Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.