Organization Active NPI

Youth Ventures of Colorado

  • Social Worker
  • Colorado Springs, CO
National Provider Identifier
1417077686
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
YOUTH VENTURES OF COLORADO
Practice address
4785 Granby Cir
Colorado Springs, CO 80919-3131
Phone
(719) 574-3555
Fax
(719) 260-0332
NPI assigned
Mar 30, 2007
Last updated
Aug 8, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Authorized official

Name
Kenn Briggs, LCSWNPI 1629198999
Title
Vice President
Phone
(719) 574-3555

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
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

4785 Granby Cir
Colorado Springs, CO 80919-3131

Mailing address

4785 Granby Cir
Colorado Springs, CO 80919-3131
Phone (719) 574-3555

Other identifiers 1

IdentifierTypeStateIssuer
103570MedicaidCO

National Provider Directory

National Provider Directory

Locations

4785 Granby Cir
Colorado Springs, CO 80919
Phone (719) 331-5063

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1417077686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4785 GRANBY CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193131",
            "telephone_number": "719-574-3555",
            "fax_number": "719-260-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4785 GRANBY CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193131",
            "telephone_number": "719-574-3555",
            "fax_number": "719-260-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH VENTURES OF COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "BRIGGS",
        "authorized_official_first_name": "KENN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "719-574-3555",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103570",
            "state": "CO"
        }
    ],
    "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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.