Organization Active NPI

Gold Phoenix, Inc

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1962645994
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
714 Issued in CO
Legal business name
GOLD PHOENIX, INC
Practice address
2107 Templeton Gap Rd
Ste G
Colorado Springs, CO 80907-7100
Phone
(719) 210-3011
NPI assigned
Apr 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Authorized official

Name
Sandra Rooks, MA, LPC
Title
Ceo
Phone
(719) 210-3011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 714 CO Primary

Addresses

Primary practice location

2107 Templeton Gap Rd
Ste G
Colorado Springs, CO 80907-7100

Mailing address

PO Box 88347
Colorado Springs, CO 80908-8347
Phone (719) 210-3011

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1962645994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88347",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809088347",
            "telephone_number": "719-210-3011",
            "fax_number": "719-494-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 TEMPLETON GAP RD",
            "address_2": "STE G",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077100",
            "telephone_number": "719-210-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD PHOENIX, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "ROOKS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-210-3011",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 7, 2009; 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.