Individual provider Active NPI

Emily Doane, MA

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1841864592
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0019293 Issued in CO
Practice address
6170 Lehman Dr Ste 104
Colorado Springs, CO 80918-3443
Phone
(719) 387-9556
Fax
(407) 743-7352
NPI assigned
May 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 19342 FL
Mental Health Counselor 101YM0800X 0019293 CO Primary

Addresses

Primary practice location

6170 Lehman Dr Ste 104
Colorado Springs, CO 80918-3443

Mailing address

6547 N Academy Blvd # 613
Colorado Springs, CO 80918-8342

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0019293COMDMental Health Counselor
19342FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sunergos Counseling Collective LLC Mental Health CurrentSince Sep 5, 2023 Accepting new patients

Locations

6170 Lehman Dr
Ste 104
Colorado Springs, CO 80918
Phone (718) 387-9681

6547 N Academy Blvd
Colorado Springs, CO 80918
Phone (719) 257-3027

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.

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1841864592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6547 N ACADEMY BLVD # 613",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809188342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6170 LEHMAN DR STE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183443",
            "telephone_number": "719-387-9556",
            "fax_number": "407-743-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOANE",
        "first_name": "EMILY",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "19342",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0019293",
            "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 29, 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.

Verify at the official NPI Registry.