Michael J. Bopp, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

991157 Issued in CO

Practice address

300 Garden of the Gods Rd
Ste 104
Colorado Springs, CO 80907-4240

Phone

(719) 598-3232

NPI assigned

Mar 7, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• A Center for Counseling at Colorado Springs

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1720203615
  NPD (past) Authorized official
• Axis Counseling, LTD.

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1033266440
  NPD (past)

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1134399926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GARDEN OF THE GODS RD",
            "address_2": "STE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074240",
            "telephone_number": "719-598-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GARDEN OF THE GODS RD",
            "address_2": "STE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074240",
            "telephone_number": "719-598-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOPP",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "991157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056672",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janis Rebecca Boone, MA, LPC, ISSP, NCC
• Cristin Fabienne Boos
• Jessica Leigh Booth, M.D.
• Sarah Hall Booth, LPC, LAC
• Ryann Nicole Boots
• Brock M Bordelon, M.D.
• Anjuli Nicole Borden, DDS
• Deborah E Borden, B.S
• Terence Borden
• Ashley Bordenet

• 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 Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.