Individual provider Active NPI

Karissa Wight, MFT

  • Marriage & Family Therapist
  • Colorado Springs, CO
National Provider Identifier
1871071704
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT.0001574 Issued in CO
Practice address
3055 Austin Bluffs Pkwy Ste A1
Colorado Springs, CO 80918
Phone
(719) 209-1376
NPI assigned
Aug 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT.0001574 CO Primary

Addresses

Primary practice location

3055 Austin Bluffs Pkwy Ste A1
Colorado Springs, CO 80918

Mailing address

3055 Austin Bluffs Pkwy Ste A1
Colorado Springs, CO 80918-5748
Phone (719) 209-1376

Other practice location 1

3055 Austin Bluffs Pkwy Ste A1
Colorado Springs, CO 80918-5748
Phone (719) 209-1376

Other practice location 2

3055 Austin Bluffs Pkwy Ste A1
Colorado Springs, CO 80918-5748
Phone (719) 209-1376

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

LicenseStateTypeSpecialty
MFT.0001574COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Mind Counseling Marriage & Family Therapist Current Accepting new patients

Locations

1465 Kelly Johnson Blvd
Ste 240
Colorado Springs, CO 80920
Phone (719) 209-1376

1465 Kelly Johnson Blvd
Ste 350
Colorado Springs, CO 80920
Phone (210) 323-1731

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": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1871071704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 AUSTIN BLUFFS PKWY STE A1",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185748",
            "telephone_number": "719-209-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 AUSTIN BLUFFS PKWY STE A1",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80918",
            "telephone_number": "719-209-1376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3055 Austin Bluffs Pkwy Ste A1",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809185748",
            "country_code": "US",
            "telephone_number": "719-209-1376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3055 Austin Bluffs Pkwy Ste A1",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809185748",
            "country_code": "US",
            "telephone_number": "719-209-1376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGHT",
        "first_name": "KARISSA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT.0001574",
            "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 21, 2018; 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.