Healthcare Provider Details

I. General information

NPI: 1225697360
Provider Name (Legal Business Name): ROBIN R HALPER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROBIN COULOMBE

II. Dates (important events)

Enumeration Date: 06/12/2019
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W BENNETT AVE
CRIPPLE CREEK CO
80813
US

IV. Provider business mailing address

1795 JET WING DR
COLORADO SPRINGS CO
80916-2332
US

V. Phone/Fax

Practice location:
  • Phone: 719-572-6100
  • Fax:
Mailing address:
  • Phone: 719-572-6100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4054
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4054-226
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0021318
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: