Individual provider Active NPI

Penelope J Hazinakis-Swainston, LPC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1942749544
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0016010 Issued in CO
Practice address
5525 Erindale Dr Ste 105
Colorado Springs, CO 80918-6963
Phone
(719) 350-6600
Fax
(719) 314-1195
NPI assigned
Feb 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0016010 CO Primary

Addresses

Primary practice location

5525 Erindale Dr Ste 105
Colorado Springs, CO 80918-6963

Mailing address

6278 John Muir TRL
Colorado Springs, CO 80927-4161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, FL, UT3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240507001726 CO Practitioner - Mental Health Counselor 1456791540 Reassigns benefits to 1 organization
I20241113002998 FL Practitioner - Mental Health Counselor 1456791540 Reassigns benefits to 1 organization
I20251119003855 UT Practitioner - Mental Health Counselor 1456791540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0016010COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Professional CurrentSince May 3, 2024 Accepting new patients

Locations

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

6975 S Union Park Ctr
Ste 600
Midvale, UT 84047
Phone (385) 255-7859

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": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1942749544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6278 JOHN MUIR TRL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809274161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 ERINDALE DR STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186963",
            "telephone_number": "719-350-6600",
            "fax_number": "719-314-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZINAKIS-SWAINSTON",
        "first_name": "PENELOPE",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-15",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0016010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.