Ppsoc PLLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

PPSOC PLLC

Practice address

3204 N Academy Blvd Ste 200
Colorado Springs, CO 80917-5163

Phone

(888) 211-8537

Fax

(614) 656-6614

NPI assigned

Apr 13, 2022

Organization subpart

No

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

Authorized official

Name

Colleen Evans, MFTCNPI 1427416445

Title

Owner/Member Manager

Phone

(719) 510-7056

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 3

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

• Amy Long, PSY.D, LPC

  • Psychologist
  • Colorado Springs, CO
  • NPI 1043689219

  Clinical

  Medicare reassignment NPD
• Lindsey L Bupp, PHD

  • Clinical Psychologist
  • Royal Oak, MI
  • NPI 1013527134

  CO

  Medicare reassignment NPD
• Colleen Evans, LMFT

  • Marriage & Family Therapist
  • Colorado Springs, CO
  • NPI 1427416445

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1932841475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351",
            "city": "CONVOY",
            "state": "OH",
            "postal_code": "458320351",
            "telephone_number": "719-510-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 N ACADEMY BLVD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175163",
            "telephone_number": "888-211-8537",
            "fax_number": "614-656-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPSOC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER/MEMBER MANAGER",
        "authorized_official_telephone_number": "719-510-7056",
        "authorized_official_credential": "MFTC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Austin Powers, MA, LPC
• Sara Marie Powers, COTA/L
• Grace Marie Pozniak, M.S. CCC-SLP
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• Counseling Psychologist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Counseling Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.