Healthcare Provider Details

I. General information

NPI: 1437076775
Provider Name (Legal Business Name): SILVER PINES COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 07/19/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5407 ARROYO ST
COLORADO SPRINGS CO
80922-3633
US

IV. Provider business mailing address

11590 RIDGELINE DR STE 130 PMB #107
COLORADO SPRINGS CO
80921
US

V. Phone/Fax

Practice location:
  • Phone: 720-608-7175
  • Fax:
Mailing address:
  • Phone: 720-608-7175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: BENJAMIN GRAF
Title or Position: OWNER
Credential: LPC
Phone: 720-608-7175