Active NPI
Janae Nelson, LCSW
- Clinical Social Worker
- Colorado Springs, CO
National Provider Identifier
1023108198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1030
- Practice address
- 2993 Broadmoor Valley Rd Ste 105C
Colorado Springs, CO 80906-1439 - Phone
- (719) 244-3662
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 125 | CO | |
| Clinical Social Worker | 1041C0700X | 6683 | KS | |
| Clinical Social Worker | 1041C0700X | 1030 | CO | Primary |
Addresses
Primary practice location
2993 Broadmoor Valley Rd Ste 105C
Colorado Springs, CO 80906-1439
Mailing address
PO Box 1085
Monument, CO 80132-1085
Phone (801) 231-0989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2026 through Jul 1, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
445 E Kings Deer PT
Monument, CO 80132-2815
5554 Malaya St
Denver, CO 80249-8653
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1030 | CO | MD | Psychologist |
| 6683 | KS | MD | Clinical Social Worker |
| 125 | CO | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeside Counseling, LLC | Current | Accepting new patients |
Locations
2993 Broadmoor Valley Rd
Ste 105C
Colorado Springs, CO 80906
Phone (719) 244-3662
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Colorado Springs, CO
- NPI 1679803993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374710400000",
"number": "1023108198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1085",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801321085",
"telephone_number": "801-231-0989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2993 BROADMOOR VALLEY RD STE 105C",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809061439",
"telephone_number": "719-244-3662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "JANAE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2013-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "125",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "6683",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "1030",
"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 Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.