Healthcare Provider Details

I. General information

NPI: 1689312894
Provider Name (Legal Business Name): COLLEEN MARIE PHIPPS-COCHRAN PSY.D, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2022
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5353 N UNION BLVD STE 202
COLORADO SPRINGS CO
80918-2069
US

IV. Provider business mailing address

5353 N UNION BLVD STE 202
COLORADO SPRINGS CO
80918-2069
US

V. Phone/Fax

Practice location:
  • Phone: 970-310-3406
  • Fax:
Mailing address:
  • Phone: 970-310-3406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSYC.00016001
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC0014932
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: