Organization Active NPI

Sole Talk Therapy

  • Clinical Social Worker
  • Nederland, CO
National Provider Identifier
1306513205
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SOLE TALK THERAPY
Practice address
198 South Tiden Street
Nederland, CO 80466
Phone
(435) 979-3564
Fax
(866) 757-5778
NPI assigned
Aug 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Authorized official

Name
Zoe K Lewis, LCSWNPI 1851735898
Title
Owner/MBR
Phone
(435) 979-3564

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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

198 South Tiden Street
Nederland, CO 80466

Mailing address

PO Box 1045
Nederland, CO 80466-1045
Phone (435) 979-3564

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211019000644 CO Part B Supplier - Clinic/Group Practice 6305242561 Receives reassigned benefits from 1 practitioner
Practice locations: Nederland, CO

National Provider Directory

National Provider Directory

Locations

350 East St
Unit 1045
Nederland, CO 80466

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1306513205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1045",
            "city": "NEDERLAND",
            "state": "CO",
            "postal_code": "804661045",
            "telephone_number": "435-979-3564",
            "fax_number": "866-757-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 SOUTH TIDEN STREET",
            "city": "NEDERLAND",
            "state": "CO",
            "postal_code": "80466",
            "telephone_number": "435-979-3564",
            "fax_number": "866-757-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLE TALK THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ZOE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/MBR",
        "authorized_official_telephone_number": "435-979-3564",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nederland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.