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FORMATION COUNSELING CENTER
NPI 1194403238
Counselor - Mental Health in Colorado Springs, CO

Active since July 10, 2023
128 S TEJON ST STE 405, COLORADO SPRINGS, CO 80903(312) 369-9422(719) 755-4662 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2025, Sep 2, 2023, Jul 10, 2023 (3 updates tracked since 2023).

About Formation Counseling Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORMATION COUNSELING CENTER (NPI 1194403238) is a healthcare organization registered as a mental health in Colorado Springs, Colorado and active in the NPI registry since July 2023. The organization lists Alice Boertje, Founder, Therapist, as its authorized official.

NPPES Registry Identity

NPI1194403238
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameFORMATION COUNSELING CENTER
Location Address128 S TEJON ST STE 405Colorado Springs, CO 80903-2212
Mailing Address128 S Tejon St Ste 405Colorado Springs, CO 80903-2212 · (312) 369-9422 · Fax (719) 755-4662
Phone(312) 369-9422
Fax(719) 755-4662
Organization SubpartNo
Authorized OfficialAlice BoertjeFounder, Therapist · (312) 369-9422
Enumeration DateJuly 10, 2023
Last NPPES UpdateNovember 10, 20253 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
✔ NPI 1194403238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
128 S TEJON ST STE 405, Colorado Springs, CO 80903
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA HAUSMANN LPCC
Counselor (Mental Health)
128 S TEJON ST STE 405
COLORADO SPRINGS, CO 80903
El Paso County (719) 781-2172
ALICE ANNE BOERTJE MA, LPC, NCC
Counselor (Mental Health)
128 S TEJON ST STE 405
COLORADO SPRINGS, CO 80903
El Paso County (312) 369-9422
KIMBERLY TOVAR STUDENT
Counselor (Mental Health)
128 S TEJON ST STE 405
COLORADO SPRINGS, CO 80903
El Paso County (719) 781-2172
SARAH ANGELL
Counselor (Mental Health)
128 S TEJON ST STE 405
COLORADO SPRINGS, CO 80903
El Paso County (719) 360-1012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Formation Counseling Center's NPI number?

The NPI number for Formation Counseling Center is 1194403238. It was assigned to this organization in the NPPES registry on July 10, 2023.

Where is Formation Counseling Center located?

Formation Counseling Center is located at 128 S Tejon St Ste 405, Colorado Springs, CO 80903. The listed phone number is (312) 369-9422.

What is Formation Counseling Center's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Formation Counseling Center was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.