Active NPI
Colby Nelsen
- Clinical Social Worker
- Topeka, KS
National Provider Identifier
1073129177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12747-T
- Practice address
- 400 SW Oakley Ave
Topeka, KS 66606-2039 - Phone
- (785) 233-1730
- Fax
- (785) 354-1068
- NPI assigned
- Sep 23, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12747-T | KS | Primary |
Addresses
Primary practice location
400 SW Oakley Ave
Topeka, KS 66606-2039
Mailing address
5401 SW 7TH St
Topeka, KS 66606-2330
Phone (785) 273-2252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12747-T | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Astra Mental Health and Recovery, Inc. | Past | Accepting new patients |
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.
-
- Adult Medicine Physician
- Topeka, KS
- NPI 1366972879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1073129177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 SW 7TH ST",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666062330",
"telephone_number": "785-273-2252",
"fax_number": "785-273-7489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SW OAKLEY AVE",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666062039",
"telephone_number": "785-233-1730",
"fax_number": "785-354-1068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSEN",
"first_name": "COLBY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-23",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "12747-T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.