Safeside Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SAFESIDE COUNSELING, LLC

Practice address

2993 Broadmoor Valley Rd
Suite 105C
Colorado Springs, CO 80906-4471

Phone

(719) 244-3662

NPI assigned

Jan 8, 2010

Organization subpart

No

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

Authorized official

Name

Janae Nelson Lane, LCSW

Title

Manager

Phone

(719) 244-3662

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.

• Janae Nelson, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
  • NPI 1023108198
  NPD

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1679803993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1085",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801321085",
            "telephone_number": "719-244-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2993 BROADMOOR VALLEY RD",
            "address_2": "SUITE 105C",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064471",
            "telephone_number": "719-244-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFESIDE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "JANAE",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "719-244-3662",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syed Asad Safdar, M.D.
• Safe Harbor Therapy & Wellness, LLC
• Safe Mobility LLC
• Safe Passage
• Saferide
• Safeway Inc (Safeway Pharmacy #1499)
• Safeway Inc (Safeway Pharmacy #1577)
• Safeway Inc (Safeway)
• Safeway Inc (Safeway Pharmacy #1466)
• Safeway Inc (Safeway Pharmacy #2839)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.