Individual provider Active NPI

Kari Beth Anderson, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1164585147
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
993033 Issued in CO
Practice address
1465 Kelly Johnson Blvd
Ste. 360
Colorado Springs, CO 80920-3955
Phone
(719) 302-2886
Fax
(719) 631-7008
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 993033 CO Primary

Addresses

Primary practice location

1465 Kelly Johnson Blvd
Ste. 360
Colorado Springs, CO 80920-3955

Mailing address

1465 Kelly Johnson Blvd
Ste. 360
Colorado Springs, CO 80920-3955
Phone (719) 302-2886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
993033COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kari Anderson, LCSW, PC Clinical PastSince Nov 17, 2019 Accepting new patients

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1164585147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 KELLY JOHNSON BLVD",
            "address_2": "STE. 360",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203955",
            "telephone_number": "719-302-2886",
            "fax_number": "719-631-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 KELLY JOHNSON BLVD",
            "address_2": "STE. 360",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203955",
            "telephone_number": "719-302-2886",
            "fax_number": "719-631-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KARI",
        "middle_name": "BETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "993033",
            "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 Oct 1, 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.

Verify at the official NPI Registry.