Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Formation Counseling Center

Organization Mental Health Counselor · NPI 1194403238

Formation Counseling Center provides Mental Health Counselor services in Colorado Springs, Colorado. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

128 S Tejon St Ste 405
Colorado Springs, CO 80903-2212
Phone: (312) 369-9422
Fax: (719) 755-4662
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1194403238
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alice Boertje — Founder, Therapist · (312) 369-9422
NPI enumeratedJuly 10, 2023
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025
Mailing address128 S Tejon St Ste 405, Colorado Springs, CO 80903-2212

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