Individual provider Active NPI

Kirsten Elizabeth Hughes, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1063063550
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09928613 Issued in CO
Practice address
5225 N Academy Blvd Ste 105
Colorado Springs, CO 80918-4097
Phone
(719) 357-7504
NPI assigned
Sep 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NLC.0107699 CO
Social Worker 104100000X LSW.0009922814 CO
Clinical Social Worker 1041C0700X CSW.09928613 CO Primary

Addresses

Primary practice location

5225 N Academy Blvd Ste 105
Colorado Springs, CO 80918-4097

Mailing address

2709 Lark Dr
Colorado Springs, CO 80909-1126
Phone (719) 425-5789

Other identifiers 1

IdentifierTypeStateIssuer
9000212347MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240404004208 CO Practitioner - Clinical Social Worker 7517305881 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NLC.0107699COMDMental Health Counselor
LSW.0009922814COMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Singing Wolf Counseling Services Clinical CurrentSince Sep 29, 2019 Accepting new patients
The Compassion Collaborative, LLC Mental Health CurrentSince Mar 29, 2024 Accepting new patients

Locations

1465 Kelly Johnson Blvd
Ste 350
Colorado Springs, CO 80920
Phone (210) 323-1731

5225 N Academy Blvd
Ste 105
Colorado Springs, CO 80918
Phone (719) 357-7504

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1063063550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 LARK DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091126",
            "telephone_number": "719-425-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 N ACADEMY BLVD STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184097",
            "telephone_number": "719-357-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "KIRSTEN",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "NLC.0107699",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "LSW.0009922814",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09928613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000212347",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.