Active NPI
Regina Dipadova
- Addiction (Substance Use Disorder) Counselor
- Colorado Springs, CO
National Provider Identifier
1801184791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 701 E Boulder St
Colorado Springs, CO 80903-3103 - Phone
- (171) 996-4365
- NPI assigned
- Jul 13, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CO | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0133 | CO | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
701 E Boulder St
Colorado Springs, CO 80903-3103
Mailing address
701 E Boulder St
Colorado Springs, CO 80903-3103
Phone (719) 964-4365
Other practice location 1
1026 W Abriendo Ave
Pueblo, CO 81004-1128
Phone (719) 545-2746
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 |
|---|---|---|---|
| 0133 | CO | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Homeward Pikes Peak | Current | Accepting new patients |
Locations
701 E Boulder St
Colorado Springs, CO 80903
Phone (719) 473-5557
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Colorado Springs, CO
- NPI 1497482590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1801184791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 E BOULDER ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809033103",
"telephone_number": "719-964-4365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E BOULDER ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809033103",
"telephone_number": "171-996-4365"
}
],
"practiceLocations": [
{
"address_1": "1026 W Abriendo Ave",
"address_purpose": "LOCATION",
"city": "Pueblo",
"state": "CO",
"postal_code": "810041128",
"country_code": "US",
"telephone_number": "719-545-2746",
"fax_number": "719-545-4100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIPADOVA",
"first_name": "REGINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-13",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "0133",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"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 Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.