Active NPI
Timothy Swanson
- Mental Health Counselor
- Colorado Springs, CO
National Provider Identifier
1508258302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1826 E Platte Ave Ste 102
Colorado Springs, CO 80909-5738 - Phone
- (719) 641-4917
- Fax
- (719) 418-3728
- NPI assigned
- Mar 3, 2015
- Last updated
- Sep 15, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACB 7020 | CO | |
| Mental Health Counselor | 101YM0800X | 09923464 | CO | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1826 E Platte Ave Ste 102
Colorado Springs, CO 80909-5738
Mailing address
1826 E Platte Ave Ste 102
Colorado Springs, CO 80909-5738
Phone (719) 641-4917
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACB 7020 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| 09923464 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adult Youth @ Swanson Counseling LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Timothy J. Swanson | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Locations
1826 E Platte Ave
Ste 102
Colorado Springs, CO 80909
Phone (719) 358-6559
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Addiction (Substance Use Disorder) Counselor
- Pueblo, CO
- NPI 1730699984
-
- Addiction (Substance Use Disorder) Counselor
- Colorado Springs, CO
- NPI 1831814888
-
dba Adult Youth at Swanson Counseling
- Counselor
- Colorado Springs, CO
- NPI 1639001589
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1508258302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1826 E PLATTE AVE STE 102",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809095738",
"telephone_number": "719-641-4917",
"fax_number": "719-418-3728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1826 E PLATTE AVE STE 102",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809095738",
"telephone_number": "719-641-4917",
"fax_number": "719-418-3728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "TIMOTHY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-03",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACB 7020",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "09923464",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"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 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.