MICKEY DESHAWN MCKINLEY


Address: 1440 E Fountain Blvd, Colorado Springs, CO 80910-3502
Phone: 7193605090

MICKEY DESHAWN MCKINLEY (NPI# 1356878706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356878706
Entity Type Individual
Full Name MICKEY DESHAWN MCKINLEY
Credential LPC
Practice Address 1440 E Fountain Blvd
Colorado Springs
CO 80910-3502
Mailing Address 1179 Westmoreland Rd
Colorado Springs
CO 80907-4628
Practice Telephone 7193605090
Practice Fax Number 7193626573
Mailing Telephone 7193605090
Mailing Fax Number 7196326573
Enumeration Date 2017-05-16
Last Update Date 2017-05-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
0012030 CO Behavioral Health & Social Service Providers

Office Location

Street Address 1440 E FOUNTAIN BLVD
City COLORADO SPRINGS
State CO
Zip Code 80910-3502

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629107255 Kids Crossing Voluntary or Charitable 1440 E Fountain Blvd, Colorado Springs, CO 80910-3502 2007-03-02
1801420393 Makayla L Hause Social Worker 1440 E Fountain Blvd, Colorado Springs, CO 80910-3502 2020-02-24
1659927721 Heidi Fuchs Counselor 1440 E Fountain Blvd, Colorado Springs, CO 80910-3502 2019-08-14
1114418464 Marika Somersalmi Counselor 1440 E Fountain Blvd, Colorado Springs, CO 80910-3502 2018-05-22
1639666308 Aimee M Davis Counselor 1440 E Fountain Blvd, Colorado Springs, CO 80910-3502 2018-04-18
1891282711 Aquila Denise Stephens Counselor 1440 E Fountain Blvd, Colorado Springs, CO 80910-3502 2018-04-16
1306356126 Kids Crossing Custodial Care Facility 1440 E Fountain Blvd, Colorado Springs, CO 80910-3502 2017-10-06
1255866547 Monique Mathews Social Worker 1440 E Fountain Blvd, Colorado Springs, CO 80910-3502 2017-04-25
1982137808 Jessica Burnside Social Worker 1440 E Fountain Blvd, Colorado Springs, CO 80910-3502 2017-04-07
1962935817 Kristen Payton Counselor 1440 E Fountain Blvd, Colorado Springs, CO 80910-3502 2017-04-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952955403 Marian Lin Mondy Social Worker 2909 Wellshire Blvd., Colorado Springs, CO 80910 2019-08-01
1538727474 Lisa Morales Audiologist 3225 International Cir Ste 102, Colorado Springs, CO 80910 2019-06-05
1134617038 Paul Gross Counselor 411 Lakewood Circle Dr, C-204-b, Colorado Springs, CO 80910 2018-04-25
1821502923 Kathleen Lubos Ambros-dahilig Dental Assistant 2240 Gilpin Ave, Colorado Springs, CO 80910 2017-11-28
1508384793 Shawn Maul Registered Nurse 115 S Parkside, Colorado Springs, CO 80910 2017-09-07
1376910521 Kelley Elizabeth Smith Bouchard Nurse Practitioner 3225 International Circle Suite 220, Colorado Springs, CO 80910 2015-08-24
1619353430 Dr. Steven Alan Gould Dds PC Dentist 2859 E. Fountain Blvd, Colorado Springs, CO 80910 2015-08-04
1881029155 Francis Hammet Chiropractor 411 Lakewood Circle A1104, Colorado Springs, CO 80910 2013-09-05
1447697586 Mcb Clinical Research Centers, LLC Psychologist 110 S. Parkside Drive, Colorado Springs, CO 80910 2013-05-30
1417206723 Augustus Albert Edwards Case Manager/Care Coordinator 115 Parkside Drive, Colorado Springs, CO 80910 2012-08-31
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881291516 Erin Michelle Lair Counselor 120 Kilgore St, Colorado Springs, CO 80911-2231 2020-10-06
1326655010 Madeline Tormoen Counselor 2546 Indian Hills Grv, Colorado Springs, CO 80907-5977 2020-09-26
1144832890 Theresa Hernandez Counselor 7561 Sun Prairie Dr, Colorado Springs, CO 80925-9567 2020-08-22
1396356200 Croswaite Counseling, Pllc Counselor 1768 Silver Meadow Cir, Colorado Springs, CO 80951-9762 2020-08-13
1952911653 Aurora Umana-arko Counselor 5475 Mark Dabling Blvd Ste 100, Colorado Springs, CO 80918-3847 2020-08-06
1750990925 Richard James Locke II Counselor 6238 San Mateo Dr, Colorado Springs, CO 80911-4007 2020-07-23
1578171914 Susan Leslie Quinn Counselor 6562 Lange Dr, Colorado Springs, CO 80918-1631 2020-07-22
1679181549 Kristen Simons Counselor 919 Ellston St, Colorado Springs, CO 80907-4119 2020-07-16
1295363992 Katherine Daugaard Counselor 2865 Blake Dr, Colorado Springs, CO 80916-3346 2020-03-29
1013543677 Shirley Noelle Turner Vancil Counselor 655 Southpointe Ct Ste 202, Colorado Springs, CO 80906-3859 2020-03-16
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Competitor

Search similar providers

City COLORADO SPRINGS
Zip Code 80910

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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