Active NPI
Gold Phoenix, Inc
- Mental Health Counselor
- Colorado Springs, CO
National Provider Identifier
1962645994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 714
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryNPI 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.