NPIMap

Organization Active NPI

Itza Corazon Community Services LLC

Doing business as ITZA Corazon Community Services

  • Counselor
  • Colorado Springs, CO
National Provider Identifier
1942029459
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
ITZA CORAZON COMMUNITY SERVICES LLC
Doing business as
ITZA Corazon Community Services
ITZA Corazon Community Services LL
Practice address
518 N Chelton Rd Ste 210
Colorado Springs, CO 80909-5256
Phone
(710) 500-6009
NPI assigned
Oct 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Pedro F Riddell, LSW, LACCNPI 1750803003
Title
Ceo
Phone
(530) 786-9882

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Public Health or Welfare Agency 251K00000X
Clinic/Center 261Q00000X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

518 N Chelton Rd Ste 210
Colorado Springs, CO 80909-5256

Mailing address

1160 Lake Plaza Dr Ste 200
Colorado Springs, CO 80906-3507
Phone (719) 500-6009

Other names 2

  • ITZA Corazon Community Services Doing business as
  • ITZA Corazon Community Services LL Doing business as

National Provider Directory

National Provider Directory

Locations

1160 Lake Plaza Dr
Ste 200
Colorado Springs, CO 80906

518 N Chelton Rd
Ste 210
Colorado Springs, CO 80909
Phone (719) 500-6009

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1942029459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 LAKE PLAZA DR STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063507",
            "telephone_number": "719-500-6009",
            "fax_number": "719-890-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 N CHELTON RD STE 210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095256",
            "telephone_number": "710-500-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITZA CORAZON COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "RIDDELL",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-786-9882",
        "authorized_official_credential": "LSW, LACC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ITZA Corazon Community Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ITZA Corazon Community Services LL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ITZA Corazon Community Services LL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 6, 2026; 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.