Individual provider Active NPI

Karla Lee Scull, MSW

  • Counselor
  • Pueblo, CO
National Provider Identifier
1316588445
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
NLC.0109362 Issued in CO
Practice address
2429 S Prairie Ave
Pueblo, CO 81005-2886
Phone
(719) 564-5070
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NLC.0109362 CO Primary

Addresses

Primary practice location

2429 S Prairie Ave
Pueblo, CO 81005-2886

Mailing address

2429 S Prairie Ave
Pueblo, CO 81005-2886
Phone (719) 564-5070

Other practice location 1

155 Printers Pkwy Ste 200
Colorado Springs, CO 80910-6102
Phone (719) 374-1650

Other practice location 2

602 Yale Pl
Canon City, CO 81212-4611
Phone (719) 275-0700

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221010002192 CO Practitioner - Clinical Social Worker 6305222621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gateway to Success, PCGroup PAC ID 3173885670, 7 clinicians

Practice addresses (Care Compare)

2429 S Prairie Ave
Gateway to Success Pueblo MH
Pueblo, CO 81005-2886
Phone (719) 564-5070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NLC.0109362COMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway to Success, PC CurrentSince Aug 1, 2022 Accepting new patients
Gateway to Success, PC CurrentSince Aug 1, 2022 Accepting new patients
Gateway to Success, PC Past Accepting new patients
Gateway to Success, PC Past Accepting new patients
Gateway to Success, PC Past Accepting new patients

Locations

602 Yale Pl
Canon City, CO 81212
Phone (719) 275-0700

155 Printers Pkwy
Ste 200
Colorado Springs, CO 80910
Phone (719) 374-1650

Organizations & group practices 5

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": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1316588445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 S PRAIRIE AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052886",
            "telephone_number": "719-564-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 S PRAIRIE AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052886",
            "telephone_number": "719-564-5070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Printers Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809106102",
            "country_code": "US",
            "telephone_number": "719-374-1650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 Yale Pl",
            "address_purpose": "LOCATION",
            "city": "Canon City",
            "state": "CO",
            "postal_code": "812124611",
            "country_code": "US",
            "telephone_number": "719-275-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCULL",
        "first_name": "KARLA",
        "middle_name": "LEE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "NLC.0109362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.