Eudaimonia Counseling and Recovery Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EUDAIMONIA COUNSELING AND RECOVERY SERVICES

Practice address

5555 Erindale Dr Ste 203
Colorado Springs, CO 80918-6965

Phone

(719) 315-0685

NPI assigned

Sep 18, 2019

Organization subpart

No

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

Authorized official

Name

Mallory Diane Heise, MA, LPC, LACNPI 1801358650

Title

Owner/Therapist

Phone

(719) 322-6108

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Mallory Diane Heise, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Colorado Springs, CO
  • NPI 1801358650
  NPD Authorized official

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1962052258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 E SAINT VRAIN ST APT 2",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809036005",
            "telephone_number": "719-322-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 ERINDALE DR STE 203",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186965",
            "telephone_number": "719-315-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUDAIMONIA COUNSELING AND RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "HEISE",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "719-322-6108",
        "authorized_official_credential": "MA, LPC, LAC"
    },
    "taxonomies": [
        {
            "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.