NPIMap

Organization Active NPI

The Patterson Center for Resiliency, LLC

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1306470224
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE PATTERSON CENTER FOR RESILIENCY, LLC
Practice address
5373 N Union Blvd Ste 203
Colorado Springs, CO 80918-2073
Phone
(719) 300-5735
NPI assigned
Feb 29, 2020
Last updated
Aug 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Authorized official

Name
Danielle M Patterson, LCSWNPI 1699182964
Title
Founder, Lead Clinician
Phone
(719) 300-5735

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

5373 N Union Blvd Ste 203
Colorado Springs, CO 80918-2073

Mailing address

5373 N Union Blvd Ste 203
Colorado Springs, CO 80918-2073
Phone (719) 300-5735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240726003803 CO Part B Supplier - Clinic/Group Practice 6709322670 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

1870 Dublin Blvd
Ste B
Colorado Springs, CO 80918
Phone (719) 650-1250

1925 Dominion Way
Fl 1
Colorado Springs, CO 80918
Phone (719) 300-5735

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1582934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1306470224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5373 N UNION BLVD STE 203",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809182073",
            "telephone_number": "719-300-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5373 N UNION BLVD STE 203",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809182073",
            "telephone_number": "719-300-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PATTERSON CENTER FOR RESILIENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-29",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FOUNDER, LEAD CLINICIAN",
        "authorized_official_telephone_number": "719-300-5735",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "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 Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.