Eden Therapy LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EDEN THERAPY LLC

Practice address

2052 Silkwood Dr
Colorado Springs, CO 80920-6716

Phone

(719) 377-6435

NPI assigned

May 15, 2024

Organization subpart

No

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

Authorized official

Name

Josue Manuel Quiroga, LPCNPI 1275240418

Title

Owner

Phone

(719) 377-6435

Specialties & licenses 1

Addresses

Practitioners 1

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

• Josue Manuel Quiroga, LPC

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1275240418
  NPD Authorized official

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1992554588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 SILKWOOD DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809206716",
            "telephone_number": "719-377-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 SILKWOOD DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809206716",
            "telephone_number": "719-377-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "QUIROGA",
        "authorized_official_first_name": "JOSUE",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-377-6435",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Evan Eddy, D.C.
• Jelena Eddy, PA
• Kayla Eddy, RN
• Suzy M. Eddy, RN
• Jonathan Paul Edelman, FNP-C
• James W Edgar, LMFT
• Natalie R Edgar, D.O.
• Edge Medical Services
• Edge Medical Services
• Edge Medical Services

• Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.