Organization Active NPI

Cheyenne Mountain Therapy, LLC

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1811501620
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CHEYENNE MOUNTAIN THERAPY, LLC
Practice address
1767 S 8TH St Ste 120
Colorado Springs, CO 80905-1972
Phone
(719) 966-7053
NPI assigned
Aug 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amber Pisano, LPCNPI 1992055214
Title
Owner/Therapist
Phone
(719) 966-7053

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1767 S 8TH St Ste 120
Colorado Springs, CO 80905-1972

Mailing address

1767 S 8TH St Ste 120
Colorado Springs, CO 80905-1972
Phone (719) 966-7053

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1811501620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 S 8TH ST STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051972",
            "telephone_number": "719-966-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 S 8TH ST STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051972",
            "telephone_number": "719-966-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYENNE MOUNTAIN THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "PISANO",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "719-966-7053",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE 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 Aug 31, 2020; 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.