NPIMap

Organization Active NPI

Mission Possible

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1477064590
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
991344 Issued in CO
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
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Mr. Palmer W Johnson, MSW, LCSWNPI 1003327123
Title
Director
Phone
(719) 635-9100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 991344 CO Primary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Possible3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2220 E Bijou St
Colorado Springs, CO 80909
Phone 7196359100 ext. 10

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": "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.

Verify at the official NPI Registry.