Active NPI
Jami Melina Manning, MSW, CACI
- Clinical Social Worker
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09926135
- Practice address
- 1304 Chinook LN
Pueblo, CO 81001-1851 - Phone
- (719) 545-2746
- NPI assigned
- Sep 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6321 | CO | |
| Clinical Social Worker | 1041C0700X | CSW.09926135 | CO | Primary |
Addresses
Primary practice location
1304 Chinook LN
Pueblo, CO 81001-1851
Mailing address
3122 Herrick PL
Pueblo, CO 81003-3838
Phone (719) 583-0578
Other names 1
- Miss Jami Melina Olivas
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
41 Montebello Rd
Suite 204
Pueblo, CO 81001-1379
Phone (719) 545-2746
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6321 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| CSW.09926135 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Solutions | Current | Accepting new patients | |
| Health Solutions | Current | Accepting new patients |
Locations
1012 W Abriendo Ave
Pueblo, CO 81004
Phone (719) 583-2207
41 Montebello Rd
Ste 204
Pueblo, CO 81001
Phone (719) 423-1341
1302 Chinook Ln
Pueblo, CO 81001
2003 E 4th St
Pueblo, CO 81001
Phone (719) 544-6373
41 Montebello Rd
Ste 202
Pueblo, CO 81001
Phone (719) 423-1341
1304 Chinook Ln
Pueblo, CO 81001
Phone (719) 562-3222
41 Montebello Rd
Ste 100
Pueblo, CO 81001
1310 Chinook Ln
Pueblo, CO 81001
41 Montebello Rd
Ste LL2
Pueblo, CO 81001
41 Montebello Rd
Ste 104
Pueblo, CO 81001
41 Montebello Rd
Ste 116
Pueblo, CO 81001
Phone (719) 423-1500
910 E Main St
Trinidad, CO 81082
Phone (719) 631-3370
417 S Indiana Ave
Trinidad, CO 81082
Phone (719) 846-4416
926 Russell Ave
Walsenburg, CO 81089
Phone (719) 738-2386
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pueblo, CO
- NPI 1033165527
-
- Respite Care
- Pueblo, CO
- NPI 1184475121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1093964751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3122 HERRICK PL",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810033838",
"telephone_number": "719-583-0578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 CHINOOK LN",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810011851",
"telephone_number": "719-545-2746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "JAMI",
"middle_name": "MELINA",
"name_prefix": "Mrs.",
"credential": "MSW, CACI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-17",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "6321",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09926135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMI",
"last_name": "OLIVAS",
"middle_name": "MELINA",
"prefix": "MISS",
"credential": "BSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.