Active NPI
Suzanne Marie Gleason, LSW
- Social Worker
- Colorado Springs, CO
National Provider Identifier
1306098165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 680205778
- Practice address
- 4854 Hilton Parkway
Suite 202
Colorado Springs, CO 80907 - Phone
- (888) 600-1088
- Fax
- (719) 599-4693
- NPI assigned
- Oct 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9674 | CO | |
| Social Worker | 104100000X | 680205778 | MI | Primary |
Addresses
Primary practice location
4854 Hilton Parkway
Suite 202
Colorado Springs, CO 80907
Mailing address
4854 Hilton Parkway
Suite 202
Colorado Springs, CO 80907
Phone (888) 600-1088
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9674 | Other | CO | COLORADO REGISTRATION (DORA) |
| 6802057778 | Other | MI | MICHIGAN DEPARTMENT OF COMMUNITY HEALTH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 680205778 | MI | MD | Social Worker |
| 9674 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223596800000",
"number": "1306098165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4854 HILTON PARKWAY",
"address_2": "SUITE 202",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80907",
"telephone_number": "888-600-1088",
"fax_number": "719-599-4693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4854 HILTON PARKWAY",
"address_2": "SUITE 202",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80907",
"telephone_number": "888-600-1088",
"fax_number": "719-599-4693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLEASON",
"first_name": "SUZANNE",
"middle_name": "MARIE",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-10",
"last_updated": "2008-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "9674",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "680205778",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO REGISTRATION (DORA)",
"identifier": "9674",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN DEPARTMENT OF COMMUNITY HEALTH",
"identifier": "6802057778",
"state": "MI"
}
],
"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 Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.