Organization Active NPI

Autumn Consulting, LLC

Doing business as Resilient Minds Counseling Center

  • Professional Counselor
  • Castle Rock, CO
National Provider Identifier
1861149346
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
AUTUMN CONSULTING, LLC
Doing business as
Resilient Minds Counseling Center
Practice address
333 Perry St Ste 212
Castle Rock, CO 80104-2434
Phone
(719) 216-3866
NPI assigned
Mar 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Dallas ChismarNPI 1609389691
Title
Owner
Phone
(719) 216-3866

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

333 Perry St Ste 212
Castle Rock, CO 80104-2434

Mailing address

333 Perry St Ste 212
Castle Rock, CO 80104-2434
Phone (719) 216-3866

Other identifiers 1

IdentifierTypeStateIssuer
LPC.14145OtherCOCOLORADO LICENSE

Other names 1

  • Resilient Minds Counseling Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Autumn Consulting LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

333 Perry St
Ste 212
Castle Rock, CO 80104
Phone (719) 216-3866

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": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1861149346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 PERRY ST STE 212",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042434",
            "telephone_number": "719-216-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 PERRY ST STE 212",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042434",
            "telephone_number": "719-216-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-04",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "CHISMAR",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-216-3866"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO LICENSE",
            "identifier": "LPC.14145",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resilient Minds Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.