ROM 12-2 COUNSELING (NPI# 1275060386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275060386 |
| Entity Type | Organization |
| Organization Name | ROM 12-2 COUNSELING |
| Other Organization Name | MIND RENEWAL BEHAVIORAL HEALTH SERVICES |
| Practice Address |
125 N Parkside Dr Ste 204 Colorado Springs CO 80909-6159 |
| Practice Telephone | (719) 465-2582 |
| Practice Fax Number | 7194652643 |
| Mailing Telephone | 7194652582 |
| Mailing Fax Number | 7194652643 |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2017-05-19 |
| Authorized Official Name | MR. CARLOS VILLAFAN (OWNER) |
| Authorized Official Telephone | 7194652582 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | Y |
| Parent Organization Name | ROM 12-2 COUNSELING |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
5586 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | INDIVIDUAL NPI | 1174713325 | 01 |
| CO | 671490 | 05 |
| Other Name | Type Code |
|---|---|
| Mind Renewal Behavioral Health Services | Doing Business As Name - Organization |
| Street Address |
125 N PARKSIDE DR STE 204 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80909-6159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528120755 | Moni A Orsillo | Speech-Language Pathologist | 125 N Parkside Dr Ste 204, Colorado Springs, CO 80909-6097 | 2006-12-14 |
| 1255989505 | Luz Elena Gomez | Counselor | 125 N Parkside Dr Ste 204, Colorado Springs, CO 80909-6159 | 2019-08-29 |
| 1174713325 | Carlos E. Villafan | Counselor | 125 N Parkside Dr Ste 204, Colorado Springs, CO 80909-6159 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376173765 | Ascent Health LLC | Community/Behavioral Health | 2608 Palmer Park Blvd., Colorado Springs, CO- COLORADO 80909 | 2020-01-24 |
| 1639714041 | Peak Vista Community Health Centers | Clinic/Center | 4041 E San Miguel St, Colorado Springs, CO 80909 | 2019-11-08 |
| 1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
| 1760952964 | James Garofalo | Counselor | 2210 E La Salle St Ste 221, Colorado Spgs, CO 80909 | 2018-11-29 |
| 1144719055 | Autumn Leaves Counseling, LLC | Counselor | 2130 Academy Circle, Suite B, Co Springs, CO 80909 | 2018-05-07 |
| 1407353642 | Ambulnz Co, LLC | Ambulance | 2420 E Pikes Peak Ave Ste 1001, Colorado Springs, CO 80909 | 2018-04-12 |
| 1083117998 | Peak Wellness Counseling Service, LLC | Counselor | 2210 E. La Salle Street, Suite 208, Colorado Springs, CO 80909 | 2018-03-16 |
| 1043740822 | Ande Carol West | Dental Hygienist | 701 Citadel Drive East, Colorado Springs, CO 80909 | 2017-06-14 |
| 1043748791 | Colorado Springs Pharmacy LLC | Pharmacy | 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 | 2017-05-25 |
| 1215484365 | Brittney Nicole Roberts | Physical Therapist | 2201 Lelaray St., Colorado Springs, CO 80909 | 2016-09-07 |
| Find all providers in zip 80909 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| 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 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80909 |
Please comment or provide details below to improve the information on ROM 12-2 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.