Active NPI
Scott Barton Dewalt, B.S.
- Mental Health Counselor
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2611 W Colorado Ave FL 2
Colorado Springs, CO 80904-3076 - Phone
- (719) 494-4934
- Fax
- (719) 634-2563
- NPI assigned
- May 27, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2611 W Colorado Ave FL 2
Colorado Springs, CO 80904-3076
Mailing address
2611 W Colorado Ave FL 2
Colorado Springs, CO 80904-3076
Phone (719) 494-4934
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
32 Manitou Ave
Manitou Springs, CO 80829-2425
Phone (719) 685-6473
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
| Boundless Compassion LLC | Clinical | Current | Accepting new patients |
Locations
2611 W Colorado Ave
Fl 2
Colorado Springs, CO 80904
Phone (719) 445-6770
720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589
32 Manitou Ave
Manitou Springs, CO 80829
Phone (719) 685-6473
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Colorado Springs, CO
- NPI 1104458603
-
- Clinical Social Worker
- Denver, CO
- NPI 1760854442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580083200000",
"number": "1306165469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 W COLORADO AVE FL 2",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809043076",
"telephone_number": "719-494-4934",
"fax_number": "719-634-2563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 W COLORADO AVE FL 2",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809043076",
"telephone_number": "719-494-4934",
"fax_number": "719-634-2563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWALT",
"first_name": "SCOTT",
"middle_name": "BARTON",
"name_prefix": "Mr.",
"credential": "B.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-27",
"last_updated": "2020-01-27",
"certification_date": "2020-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"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 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.