Active NPI
Wings of Hope Counseling Services, PLLC
- Addiction (Substance Use Disorder) Counselor
- Canon City, CO
National Provider Identifier
1942593538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 7038
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 7038 | CO | Primary |
| Professional Counselor | 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 DirectoryNPI 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.