Provider Demographics
NPI:1790262376
Name:CONNECTING POINT COUNSELING SERVICES
Entity Type:Organization
Organization Name:CONNECTING POINT COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:C
Authorized Official - Last Name:GIBSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:LPC
Authorized Official - Phone:719-360-4369
Mailing Address - Street 1:1360 ALVESTON ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80910-2299
Mailing Address - Country:US
Mailing Address - Phone:719-360-4369
Mailing Address - Fax:
Practice Address - Street 1:503 N MAIN ST STE 324
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81003-3139
Practice Address - Country:US
Practice Address - Phone:719-544-2219
Practice Address - Fax:719-544-2921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-26
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO875404Medicaid