Wahlberg Counseling Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

00002014 Issued in CO

Legal business name

WAHLBERG COUNSELING SERVICES

Practice address

5855 Lehman Dr Ste 201
Colorado Springs, CO 80918-3492

Phone

(719) 271-6306

Fax

(719) 362-4390

NPI assigned

Jan 26, 2015

Organization subpart

No

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

Authorized official

Name

Nykol R Wahlberg, LCSWNPI 1457585416

Title

Owner

Phone

(719) 271-6306

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

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

• Nykol R. Wahlberg, MSW, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
  • NPI 1457585416
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1619367901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 LEHMAN DR STE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183492",
            "telephone_number": "719-271-6306",
            "fax_number": "719-362-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 LEHMAN DR STE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183492",
            "telephone_number": "719-271-6306",
            "fax_number": "719-362-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAHLBERG COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "WAHLBERG",
        "authorized_official_first_name": "NYKOL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-271-6306",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "00002014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Charles Wagstaff, LCSW
• Jace Michael Waguspack, PHD
• Amanda Wahl
• Michael Ernest Wahl, DDS
• Raymond L. Wahl, M.D.
• Nykol R. Wahlberg, MSW, LCSW
• Pia Wahlstrom
• Rebecca Murdock Wahr, B.S.E
• Julie Eggleston Waidelich, MS, CCC-SLP
• Meghan Caroline Waidler

• Clinical Social Worker in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.