Organization Active NPI

Wings of Hope Counseling Services, PLLC

  • Addiction (Substance Use Disorder) Counselor
  • Canon City, CO
National Provider Identifier
1942593538
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
7038 Issued in CO
Legal business name
WINGS OF HOPE COUNSELING SERVICES, PLLC
Practice address
1335 Phay Ave
Canon City, CO 81212-2334
Phone
(877) 582-7839
Fax
(877) 562-7839
NPI assigned
May 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Authorized official

Name
Ms. Timothy R Pearson, LPC ; CAC III
Title
Director
Phone
(719) 275-8714

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 7038 CO Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 4723 CO

Addresses

Primary practice location

1335 Phay Ave
Canon City, CO 81212-2334

Mailing address

PO Box 521
Canon City, CO 81215-0521
Phone (877) 582-7839

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1942593538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 521",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812150521",
            "telephone_number": "877-582-7839",
            "fax_number": "877-582-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 PHAY AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122334",
            "telephone_number": "877-582-7839",
            "fax_number": "877-562-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS OF HOPE COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "719-275-8714",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC ; CAC III"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "7038",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "4723",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.