Mary Gupton-Johnson, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

NLC0014206 Issued in CO

Practice address

223 N Wahsatch Ave
Ste 101
Colorado Springs, CO 80903-3479

Phone

(719) 442-1779

Fax

(719) 442-0538

NPI assigned

Jan 25, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Adult Youth Services

  • Social Worker
  • Colorado Springs, CO
  • NPI 1609233410
  NPD (past) Authorized official
• Adult/Youth Counseling Services

  • Public Health or Welfare Agency
  • Colorado Springs, CO
  • NPI 1326274564
  NPD (past)

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1447617246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N WAHSATCH AVE",
            "address_2": "STE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033479",
            "telephone_number": "719-442-1779",
            "fax_number": "719-442-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N WAHSATCH AVE",
            "address_2": "STE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033479",
            "telephone_number": "719-442-1779",
            "fax_number": "719-442-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTON-JOHNSON",
        "first_name": "MARY",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "NLC0014206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Mmichael Gungler, RPH
• Sarah R Gunlikson, PA-C
• Alpha Marcella Gunn, MA, LPC
• Kelly Joy Gunn, NP
• Steve Gunning, LCSW
• Deborah Hannah Gural
• Olivia Nicole Gurizzian
• Bailey Gurnsey, RBT
• Tawn Gurnsey
• Avanti Reddy Gurram, MD

• Social Worker in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.