Boundless Compassion LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BOUNDLESS COMPASSION LLC

Practice address

2611 W Colorado Ave FL 2
Colorado Springs, CO 80904-3076

Phone

(719) 445-6770

NPI assigned

Feb 12, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Scott B Dewalt, LCSWNPI 1306165469

Title

Managing Member

Phone

(719) 685-6473

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

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

• Scott Barton Dewalt, B.S.

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1306165469

  Clinical

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1104458603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2393 STEPPING STONES WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809042772",
            "telephone_number": "719-685-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 W COLORADO AVE FL 2",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809043076",
            "telephone_number": "719-445-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNDLESS COMPASSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "DEWALT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "719-685-6473",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Boudreaux, PHARM. D.
• Susan L Boudreaux, LMFT
• Boulder and the Pine Wellness
• Julia Boulton, LPC
• Mark Boulware, M.D.
• Alison Elizabeth Bounds, RBT
• Roxanne Bourassa
• Dawn Michelle Boutte, PT
• Pamela Renee Bouvier, LMT
• Shealee Bouziden

• Clinical Social Worker in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.