Organization Active NPI

Bristlecone Family Counseling Mental Health Therapy for Children

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1972049328
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0012459 Issued in CO
Legal business name
BRISTLECONE FAMILY COUNSELING MENTAL HEALTH THERAPY FOR CHILDREN
Practice address
317 E Kiowa St
Colorado Springs, CO 80903-1712
Phone
(719) 661-9323
Fax
(719) 434-9930
NPI assigned
Jan 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Tamra Lee Bok, LPC
Title
Owner/Operator
Phone
(719) 283-7990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC.0012459 CO Primary

Addresses

Primary practice location

317 E Kiowa St
Colorado Springs, CO 80903-1712

Mailing address

700 Valley View Dr
Woodland Park, CO 80863-8370
Phone (719) 661-9323

Other names 1

  • Bristlecone Family Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

815 E Platte Ave
Colorado Springs, CO 80903
Phone (719) 310-6580

317 E Kiowa St
Colorado Springs, CO 80903
Phone (719) 497-9522

2149 N Academy Blvd
Colorado Springs, CO 80909
Phone (719) 661-6422

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1972049328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 VALLEY VIEW DR",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808638370",
            "telephone_number": "719-661-9323",
            "fax_number": "719-434-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E KIOWA ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031712",
            "telephone_number": "719-661-9323",
            "fax_number": "719-434-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTLECONE FAMILY COUNSELING MENTAL HEALTH THERAPY FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "BOK",
        "authorized_official_first_name": "TAMRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "719-283-7990",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0012459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristlecone Family Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bristlecone Family Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 7, 2024; 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.