Individual provider Active NPI

Jeffrey Donald Plankeel, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1285818971
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
930 Issued in CO
Practice address
2950 Professional Place Suite 201
Colorado Springs, CO 80904
Phone
(443) 255-3748
Fax
(719) 453-0224
NPI assigned
Dec 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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 930 CO Primary

Addresses

Primary practice location

2950 Professional Place Suite 201
Colorado Springs, CO 80904

Mailing address

2950 Professional PL Ste 201
Colorado Springs, CO 80904-8106
Phone (443) 255-3748

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
I20080117000317 CO Practitioner - Clinical Social Worker 7315028149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

915 Pinon Ranch VW
Suite 2C
Colorado Springs, CO 80907-3578
Phone (443) 255-3748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
930COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Plankeel Counseling, LLC Clinical CurrentSince Jul 21, 2014 Accepting new patients

Locations

915 Pinon Ranch Vw
Ste 2C
Colorado Springs, CO 80907
Phone (443) 255-3748

2950 Professional Pl
Ste 201
Colorado Springs, CO 80904
Phone (303) 656-0161

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": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1285818971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 PROFESSIONAL PL STE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809048106",
            "telephone_number": "443-255-3748",
            "fax_number": "719-453-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 PROFESSIONAL PLACE SUITE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80904",
            "telephone_number": "443-255-3748",
            "fax_number": "719-453-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLANKEEL",
        "first_name": "JEFFREY",
        "middle_name": "DONALD",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-18",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.