Provider Demographics
NPI:1316811532
Name:COLORADO COMPASS NETWORK
Entity type:Organization
Organization Name:COLORADO COMPASS NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BENSKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-334-5154
Mailing Address - Street 1:842 S WOLCOTT DR
Mailing Address - Street 2:
Mailing Address - City:PUEBLO WEST
Mailing Address - State:CO
Mailing Address - Zip Code:81007-1736
Mailing Address - Country:US
Mailing Address - Phone:719-334-5154
Mailing Address - Fax:
Practice Address - Street 1:842 S WOLCOTT DR
Practice Address - Street 2:
Practice Address - City:PUEBLO WEST
Practice Address - State:CO
Practice Address - Zip Code:81007-1736
Practice Address - Country:US
Practice Address - Phone:719-334-5154
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty