Individual provider Active NPI

Susan E Seiler, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1265722151
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09926370 Issued in CO
Practice address
5350 Tomah Dr Ste 3600
Colorado Springs, CO 80918-6991
Phone
(970) 310-3406
NPI assigned
Apr 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 19676 MN
Clinical Social Worker 1041C0700X 4918379-3501 UT
Clinical Social Worker 1041C0700X 09926370 CO Primary

Addresses

Primary practice location

5350 Tomah Dr Ste 3600
Colorado Springs, CO 80918-6991

Mailing address

320 W Olive St
Fort Collins, CO 80521-2716
Phone (970) 310-3406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200331000863 CO Practitioner - Clinical Social Worker 4385822576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart Centered Counseling PCGroup PAC ID 8628373651, 296 clinicians

Practice addresses (Care Compare)

5350 Tomah Dr
Suite 3600
Colorado Springs, CO 80918-6991
Phone (970) 310-3406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09926370COMDClinical Social Worker
4918379-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Counseling, PC Clinical Current Accepting new patients
Heart Centered Counseling, PC Clinical CurrentSince Dec 11, 2019 Accepting new patients
Heart Centered Counseling, PC Clinical CurrentSince Dec 11, 2019 Accepting new patients

Locations

5350 Tomah Dr
Ste 3600
Colorado Springs, CO 80918
Phone (719) 201-4245

320 W Olive St
Fort Collins, CO 80521
Phone (603) 361-7093

1770 25th Ave
Ste 206
Greeley, CO 80634
Phone (303) 664-5281

Organizations & group practices 3

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": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1265722151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W OLIVE ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212716",
            "telephone_number": "970-310-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 TOMAH DR STE 3600",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186991",
            "telephone_number": "970-310-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEILER",
        "first_name": "SUSAN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "19676",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "4918379-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09926370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.