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 is a Mental Health Counselor 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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