Active NPI
Susan Dolan
- Community/Behavioral Health Agency
- Colorado Springs, CO
National Provider Identifier
1144594458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 991699
- Legal business name
- SUSAN DOLAN
- Practice address
- 5525 Erindale Dr
Ste. #107
Colorado Springs, CO 80918-6740 - Phone
- (719) 278-9536
- Fax
- (719) 266-6025
- NPI assigned
- Mar 5, 2012
- Organization subpart
- Yes
- Parent organization
- SUSAN DOLAN
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Susan Lynn Dolan, LCSW
- Title
- President
- Phone
- (719) 278-9536
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 991699 | CO | Primary |
Addresses
Primary practice location
5525 Erindale Dr
Ste. #107
Colorado Springs, CO 80918-6740
Mailing address
5525 Erindale Dr
Ste. #107
Colorado Springs, CO 80918-6740
Phone (719) 278-9536
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155048 | Medicaid | CO |
National Provider Directory
National Provider Directory- Part of
- Susan Dolan
Locations
5525 Erindale Dr
Ste 107
Colorado Springs, CO 80918
Phone (719) 278-9536
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Colorado Springs, CO
- NPI 1265505044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330905600000",
"number": "1144594458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5525 ERINDALE DR",
"address_2": "STE. #107",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809186740",
"telephone_number": "719-278-9536",
"fax_number": "719-266-6025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5525 ERINDALE DR",
"address_2": "STE. #107",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809186740",
"telephone_number": "719-278-9536",
"fax_number": "719-266-6025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN DOLAN",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUSAN DOLAN",
"enumeration_date": "2012-03-05",
"last_updated": "2012-03-05",
"status": "A",
"authorized_official_last_name": "DOLAN",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "719-278-9536",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CO",
"license": "991699",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155048",
"state": "CO"
}
],
"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 Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.