Active NPI
Mission Possible
- Clinical Social Worker
- Colorado Springs, CO
National Provider Identifier
1477064590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 991344
- Legal business name
- MISSION POSSIBLE
- Practice address
- 1520 N Union Blvd Ste 204
Colorado Springs, CO 80909-2840 - Phone
- (719) 635-9100
- NPI assigned
- Oct 16, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Palmer W Johnson, MSW, LCSW
- Title
- Director
- Phone
- (719) 635-9100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 991344 | CO | Primary |
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
1520 N Union Blvd Ste 204
Colorado Springs, CO 80909-2840
Mailing address
PO Box 9100
Colorado Springs, CO 80932-0100
Phone (719) 635-9100
Other practice location 1
2220 E Bijou St
Colorado Springs, CO 80909-8004
Phone (719) 635-9100 ext. 10
National Provider Directory
National Provider Directory- Tax ID family
- Mission Possible
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Colorado Springs, CO
- NPI 1750250569
-
- Social Worker
- Colorado Springs, CO
- NPI 1982242970
Locations
2220 E Bijou St
Colorado Springs, CO 80909
Phone 7196359100 ext. 10
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1477064590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809320100",
"telephone_number": "719-635-9100",
"fax_number": "719-442-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 N UNION BLVD STE 204",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809092840",
"telephone_number": "719-635-9100"
}
],
"practiceLocations": [
{
"address_1": "2220 E Bijou St",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809098004",
"country_code": "US",
"telephone_number": "719-635-9100 x10",
"fax_number": "719-442-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MISSION POSSIBLE",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-16",
"last_updated": "2025-09-19",
"certification_date": "2021-04-28",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "PALMER",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "719-635-9100",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSW, LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "991344",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.