Organization · Type 2 NPI

Itza Corazon Community Services LLC

Counselor · Colorado Springs, CO

NPI number 1942029459 Active

Practice location

518 N Chelton Rd Ste 210
Colorado Springs, CO 80909-5256

Call (710) 500-6009 Map

Mailing address

1160 Lake Plaza Dr Ste 200
Colorado Springs, CO 80906-3507

Specialties and licenses

Taxonomy	Code	License
Counselor Primary	101Y00000X	None listed
Addiction (Substance Use Disorder) Counselor	101YA0400X	None listed
Mental Health Counselor	101YM0800X	None listed
Public Health or Welfare Agency	251K00000X	None listed
Clinic/Center	261Q00000X	None listed
Adult Mental Health Clinic/Center	261QM0850X	None listed
Adolescent and Children Mental Health Clinic/Center	261QM0855X	None listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

4 other providers at this address

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NPI record

NPI: 1942029459
Entity type: Organization (Type 2)
Issued: Oct 10, 2024
Last updated: May 6, 2026
Status: Active

Other names

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Itza Corazon Community Services · doing business as
Itza Corazon Community Services LL · doing business as
Itza Corazon Community Services LL · doing business as

Authorized official

Pedro F Riddell, LSW, LACC
CEO
(530) 786-9882

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1942029459

Itza Corazon Community Services LLC's National Provider Identifier is 1942029459, issued on Oct 10, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Colorado Springs, CO. The record was last updated on May 6, 2026.