Individual provider Active NPI

Jonathan Colvson

  • Social Worker
  • Pittsburgh, PA
National Provider Identifier
1295408904
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW138196 Issued in PA
Practice address
5896 Ellsworth Ave
Pittsburgh, PA 15232-1738
Phone
(412) 444-8340
NPI assigned
Jul 28, 2021
Reactivated
Jul 9, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X SW138196 PA Primary

Addresses

Primary practice location

5896 Ellsworth Ave
Pittsburgh, PA 15232-1738

Mailing address

225 Trent Rd
Wynnewood, PA 19096-3217

Other practice location 1

101 N Merion Ave
Bryn Mawr, PA 19010-2859
Phone (610) 526-7360

Other practice location 2

225 Trent Rd
Wynnewood, PA 19096-3217
Phone (610) 731-1991

Other practice location 3

201 S 18th St Apt 2207
Philadelphia, PA 19103-5945
Phone (215) 703-7283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW138196PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
People First Therapy Group CurrentSince Aug 1, 2021 Accepting new patients
Bryn Mawr College Health Center Past Accepting new patients
Transitional Characters Multi-Specialty PastSince Jul 21, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1295408904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 TRENT RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5896 ELLSWORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321738",
            "telephone_number": "412-444-8340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 N Merion Ave",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190102859",
            "country_code": "US",
            "telephone_number": "610-526-7360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Trent Rd",
            "address_purpose": "LOCATION",
            "city": "Wynnewood",
            "state": "PA",
            "postal_code": "190963217",
            "country_code": "US",
            "telephone_number": "610-731-1991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 S 18th St Apt 2207",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191035945",
            "country_code": "US",
            "telephone_number": "215-703-7283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLVSON",
        "first_name": "JONATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-28",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "deactivation_date": "2021-12-22",
        "reactivation_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW138196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.