Timothy Swanson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

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

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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 @ Swanson Counseling LLC

  • Addiction (Substance Use Disorder) Counselor
  • Pueblo, CO
  • NPI 1730699984

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Adult Youth at Swanson Counseling

  • Addiction (Substance Use Disorder) Counselor
  • Colorado Springs, CO
  • NPI 1831814888

  CO

  Medicare reassignment
• Timothy J. Swanson

  • Counselor
  • Colorado Springs, CO
  • NPI 1639001589

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000152892",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY NPI",
            "identifier": "1972927176",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Swanson
• Leilah Swanson
• Stephanie Swanson, RN, CNM
• Steven Bruce Swanson, CRNA
• Theresa M Swanson, LCSW
• Ambrie Sward
• Katrina Ann Swaringen
• Lewis Wesley Swarthout Jr., PMHNP-BC
• Zane Swartz
• David Franklin Swayne Jr., LCSW

• All providers in Colorado Springs, CO
• Mental Health Counselor in Colorado

• 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.

Verify at the official NPI Registry.