Organization Active NPI

Auspicious Counseling and Life Coaching PLLC

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1013638691
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AUSPICIOUS COUNSELING AND LIFE COACHING PLLC
Practice address
860 Oxford LN # B102
Colorado Springs, CO 80905-1963
Phone
(616) 215-9178
NPI assigned
Sep 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sydney Gomez, LCSWNPI 1598282725
Title
Founder
Phone
(616) 215-9178

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

860 Oxford LN # B102
Colorado Springs, CO 80905-1963

Mailing address

860 Oxford LN # B102
Colorado Springs, CO 80905-1963
Phone (616) 215-9178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221003001852 CO Part B Supplier - Clinic/Group Practice 9830575679 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1013638691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 OXFORD LN # B102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051963",
            "telephone_number": "616-215-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 OXFORD LN # B102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051963",
            "telephone_number": "616-215-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSPICIOUS COUNSELING AND LIFE COACHING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-11",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "616-215-9178",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.