Organization Active NPI

Alpine Counseling LLC

  • Clinical Social Worker
  • Pueblo, CO
National Provider Identifier
1184650236
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ALPINE COUNSELING LLC
Practice address
2502 Court St
Pueblo, CO 81003-2430
Phone
(719) 595-0020
Fax
(719) 542-1634
NPI assigned
Jun 23, 2006
Last updated
Dec 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Authorized official

Name
Mr. Gary L Nichols, LCSWNPI 1477580132
Title
Co-Owner
Phone
(719) 595-0020

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)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

2502 Court St
Pueblo, CO 81003-2430

Mailing address

2502 Court St
Pueblo, CO 81003-2430
Phone (719) 595-0020

Other identifiers 2

IdentifierTypeStateIssuer
035268MedicaidCO
034147MedicaidCO

National Provider Directory

National Provider Directory

Locations

2502 Court St
Pueblo, CO 81003
Phone (719) 544-8099

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1184650236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 COURT ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032430",
            "telephone_number": "719-595-0020",
            "fax_number": "719-542-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 COURT ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032430",
            "telephone_number": "719-595-0020",
            "fax_number": "719-542-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "719-595-0020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035268",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034147",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.