Individual provider Active NPI

Lelieth Thompson, PSYD

  • Psychologist
  • Colorado Springs, CO
National Provider Identifier
1992146468
Registry record updated Jan 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0004541 Issued in CO
Practice address
440 E Cheyenne Mountain Blvd
Apt 17
Colorado Springs, CO 80906-8516
Phone
(719) 602-2960
NPI assigned
Jul 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0004541 CO Primary

Addresses

Primary practice location

440 E Cheyenne Mountain Blvd
Apt 17
Colorado Springs, CO 80906-8516

Mailing address

440 E Cheyenne Mountain Blvd
Apt 17
Colorado Springs, CO 80906-8516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170503000564 CO Practitioner - Clinical Psychologist 9537446471 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0004541COMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Whole Recovery, PC CurrentSince May 1, 2019 Accepting new patients
Sondermind Provider Network LLC CurrentSince Jul 22, 2022 Accepting new patients
Achieve Whole Recovery, PC CurrentSince May 1, 2019 Accepting new patients
Achieve Whole Recovery, PC Current Accepting new patients

Locations

1115 Elkton Dr
Ste 300
Colorado Springs, CO 80907
Phone (719) 357-6471

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

8380 Zuni St
Ste 305
Westminster, CO 80221
Phone (719) 357-6471

Organizations & group practices 4

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": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484438400000",
    "number": "1992146468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E CHEYENNE MOUNTAIN BLVD",
            "address_2": "APT 17",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809068516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E CHEYENNE MOUNTAIN BLVD",
            "address_2": "APT 17",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809068516",
            "telephone_number": "719-602-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LELIETH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-12",
        "last_updated": "2017-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "0004541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.