Organization Active NPI

Adult Youth Services

  • Social Worker
  • Colorado Springs, CO
National Provider Identifier
1609233410
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
ADULT YOUTH SERVICES
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Authorized official

Name
Mary Gupton-Johnson, MSWNPI 1447617246
Title
Owner/Ceo
Phone
(719) 442-1779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

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

Mailing address

223 N Wahsatch Ave
Ste 101
Colorado Springs, CO 80903-3479
Phone (719) 442-1779

National Provider Directory

National Provider Directory

Locations

223 N Wahsatch Ave
Ste 101
Colorado Springs, CO 80903
Phone (719) 401-3167

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1609233410",
    "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": {
        "organization_name": "ADULT YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "GUPTON-JOHNSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "719-442-1779",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-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 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.