Active NPI
Alpine Counseling LLC
- Clinical Social Worker
- Pueblo, CO
National Provider Identifier
1184650236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gary L Nichols, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035268 | Medicaid | CO | |
| 034147 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Tampa, FL
- NPI 1477580132
-
- Clinical Social Worker
- Pueblo, CO
- NPI 1730125246
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.