Individual provider Active NPI

Tanya Portee, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1376273151
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09924577 Issued in CO
Practice address
4440 Barnes Rd Ste 245
Colorado Springs, CO 80917-1564
Phone
(719) 600-9455
Fax
(719) 466-9414
NPI assigned
Jun 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09924577 CO Primary

Addresses

Primary practice location

4440 Barnes Rd Ste 245
Colorado Springs, CO 80917-1564

Mailing address

4440 Barnes Rd Ste 245
Colorado Springs, CO 80917-1564
Phone (719) 600-9455

Other practice location 1

2222 N Nevada Ave
Colorado Springs, CO 80907-6819
Phone (719) 776-5878

Other names 1

  • Tanya Belknap Former name

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
I20230407000418 CO Practitioner - Clinical Social Worker 3173998093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lokiten Behavioral HealthGroup PAC ID 7719337724, 4 clinicians

Practice addresses (Care Compare)

4440 Barnes Rd
Suite 245
Colorado Springs, CO 80917-1564
Phone (719) 600-9455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09924577COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Feb 15, 2024 Accepting new patients
Lokiten Behavioral Health CurrentSince Mar 1, 2024 Accepting new patients
Lokiten Behavioral Health Current Accepting new patients

Locations

4440 Barnes Rd
Ste 245
Colorado Springs, CO 80917
Phone (719) 600-9455

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1376273151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 BARNES RD STE 245",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809171564",
            "telephone_number": "719-600-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 BARNES RD STE 245",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809171564",
            "telephone_number": "719-600-9455",
            "fax_number": "719-466-9414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 N Nevada Ave",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809076819",
            "country_code": "US",
            "telephone_number": "719-776-5878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTEE",
        "first_name": "TANYA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09924577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "BELKNAP",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.