MEDICARE: THE COUNSELING COLLECTIVE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1588520472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE COUNSELING COLLECTIVE

Provider Business Mailing Address
First Line	:	5250 PEACEFUL PL
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80917-3301
Country	:	US
Telephone Number	:	719-822-2030
Fax Number	:

Provider Business Practice Location Address
First Line	:	6745 RANGEWOOD DR STE 220
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-7105
Country	:	US
Telephone Number	:	719-822-2030
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTIAN CROCKETT
Credential	:	LPC
Telephone Number	:	719-822-2030

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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Directions to “THE COUNSELING COLLECTIVE ” Practice Location

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