Organization Active NPI

Child Community Services, LLC

  • Social Worker
  • Colorado Springs, CO
National Provider Identifier
1215525753
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
CHILD COMMUNITY SERVICES, LLC
Practice address
2210 E la Salle St Ste 108
Colorado Springs, CO 80909-2358
Phone
(719) 440-6445
Fax
(719) 374-5907
NPI assigned
Jan 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Authorized official

Name
Christine Talbott
Title
Chief Executive Officer
Phone
(719) 641-6723

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary
Case Management Agency 251B00000X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

2210 E la Salle St Ste 108
Colorado Springs, CO 80909-2358

Mailing address

2210 E la Salle St Ste 108
Colorado Springs, CO 80909-2358
Phone (719) 440-6445

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1215525753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 E LA SALLE ST STE 108",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092358",
            "telephone_number": "719-440-6445",
            "fax_number": "719-374-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 E LA SALLE ST STE 108",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092358",
            "telephone_number": "719-440-6445",
            "fax_number": "719-374-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD COMMUNITY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "TALBOTT",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "719-641-6723"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 8, 2021; 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.