SACRED SPACE COUNSELING (NPI# 1679053268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679053268 |
| Entity Type | Organization |
| Organization Name | SACRED SPACE COUNSELING |
| Practice Address |
1426 N Hancock Ave Ste 5n Colorado Springs CO 80903-2672 |
| Mailing Address |
6010 Applewood Ridge Cir Colorado Springs CO 80918-3305 |
| Practice Telephone | 9373366950 |
| Mailing Telephone | 9373366950 |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-14 |
| Authorized Official Name | KELLIE MCMASTER (CLINICAL SOCIAL WORKER) |
| Authorized Official Telephone | 9373366950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487902003 | Sacred Space Counseling | Counselor | 17214 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2012-08-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | SACRED SPACE COUNSELING CENTER LLC | 2254 Flint Hill Drive Suite 2, Dubuque, IA 52003 |
| Oregon Corporations, Companies and Business Names | SACRED SPACE COUNSELING LLC | 750 Buckaroo Trl, Sisters, OR 97759 |
| Colorado Business Entities | Sacred Space Counseling, LLC | 1426 N. Hancock Ave, Suite 5n, Colorado Springs, CO 80903 |
| Street Address |
1426 N HANCOCK AVE STE 5N |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80903-2672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770784902 | Mary Alison Butler | Social Worker | 1426 N Hancock Ave Ste 5n, Colorado Springs, CO 80903 | 2007-05-28 |
| 1861961336 | Tree Tall Counseling, LLC | Social Worker | 1426 N Hancock Ave Ste 5n, Colorado Springs, CO 80903-2672 | 2018-11-14 |
| 1891200416 | Cognitive Connections, LLC | Clinic/Center | 1426 N Hancock Ave Ste 5n, Colorado Springs, CO 80903-2672 | 2017-12-05 |
| 1275086605 | Nadine Marie Doughty | Counselor | 1426 N Hancock Ave Ste 5n, Colorado Springs, CO 80903-2672 | 2016-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235752437 | Lisa Mae Bunch | Behavior Technician | 102 South Tajon St. Ste 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1164045407 | Lajanae Davis | Behavior Technician | 102 S. Tajon Street Ste. 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1144855321 | Quinn Macdonald | Specialist/Technologist | 1332 N Weber Street, Colorado Springs, CO 80903 | 2020-03-08 |
| 1043784994 | Neuro Peak Performance, LLC | Counselor | 801 N. Weber St Suite 101, Colorado Springs, CO 80903 | 2019-01-14 |
| 1356828297 | Heart of The Phoenix, LLC | Social Worker | 1422 N Hancock Ave Ste 1, Colorado Springs, CO 80903 | 2018-07-24 |
| 1699269290 | Jenevieve Marie Briand | Day Training/Habilitation Specialist | 427 E Colorado Ave Ste 225, Colorado Springs, CO 80903 | 2018-06-18 |
| 1669983292 | Robin Dina Shankman | Massage Therapist | 127 E. Las Animas, Colorado Springs, CO 80903 | 2017-10-23 |
| 1023559804 | Sean Michael Blumahrdt | Specialist/Technologist, Other | 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 | 2017-03-14 |
| 1366980682 | Edge Medical Services | Clinic/Center | 152 West Colorado Ave, Colorado Springs, CO 80903 | 2017-02-07 |
| 1093267890 | Brittany Nicole Holmes | Behavioral Analyst | 938 S Sierra Madre, Colorado Springs, CO 80903 | 2016-10-27 |
| Find all providers in zip 80903 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
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| 1538777610 | Abbey Westphal Lcsw Inc | Clinic/Center | 6270 Lehman Dr Ste 280, Colorado Springs, CO 80918-1446 | 2020-07-15 |
| 1376178517 | Alston Counseling Services LLC | Clinic/Center | 1255 Lake Plaza Dr Ste 115, Colorado Springs, CO 80906-3541 | 2020-03-09 |
| 1194366153 | Reaching Hands As Each One Teachings One | Clinic/Center | 4720 Galley Rd, Colorado Springs, CO 80915-2735 | 2019-10-01 |
| 1972166080 | Inner Hope Therapy | Clinic/Center | 2970 N. Academy Blvd. Suite 206, Colorado Springs, CO 80917-8091 | 2019-04-16 |
| 1790141984 | Family Care Center LLC | Clinic/Center | 2860 S Circle Dr Ste 109, Colorado Springs, CO 80906-4195 | 2016-01-05 |
| 1992752133 | Cedar Springs Hospital, Inc | Clinic/Center | 2135 Southgate Rd, Colorado Springs, CO 80906-2605 | 2006-05-30 |
| 1467079053 | Convenient Colorado Counseling LLC | Clinic/Center | 5155 Laredo Ridge Dr, Colorado Springs, CO 80922-2222 | 2020-06-29 |
| 1487277471 | Hope Mountain Behavioral Health | Clinic/Center | 1802 Chapel Hills Dr Ste A, Colorado Springs, CO 80920-3736 | 2020-05-25 |
| 1639701873 | The Divine Therapy and Wellness Center | Clinic/Center | 5376 Tomah Dr Ste 210, Colorado Springs, CO 80918-6968 | 2020-02-05 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80903 |
Please comment or provide details below to improve the information on SACRED SPACE COUNSELING.
| 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.