Active NPI
Tracy Lynn Munson, LCSW
- Clinical Social Worker
- Colorado Springs, CO
National Provider Identifier
1124732342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9926066
- Practice address
- 4111 Sunny Vista HTS
Colorado Springs, CO 80918-2700 - Phone
- (719) 684-5389
- NPI assigned
- Jan 11, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9926066 | CO | Primary |
Addresses
Primary practice location
4111 Sunny Vista HTS
Colorado Springs, CO 80918-2700
Mailing address
4111 Sunny Vista HTS
Colorado Springs, CO 80918-2700
Phone (719) 684-5389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9926066 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart Centered Counseling, PC | Clinical | Current | Accepting new patients |
Locations
1330 Inverness Dr
Ste 400
Colorado Springs, CO 80910
Phone (412) 996-8194
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1124732342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4111 SUNNY VISTA HTS",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809182700",
"telephone_number": "719-684-5389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4111 SUNNY VISTA HTS",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809182700",
"telephone_number": "719-684-5389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNSON",
"first_name": "TRACY",
"middle_name": "LYNN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-11",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "9926066",
"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 Jan 11, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.