Organization Active NPI

Broadmoor Bluffs Counseling

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1740062967
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BROADMOOR BLUFFS COUNSELING
Doing business as
Broadmoor Bluffs Counseling
Practice address
675 Red Cliff Rd
Colorado Springs, CO 80906-4522
Phone
(719) 425-5026
NPI assigned
Oct 23, 2023
Last updated
Oct 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Joshua Aevum, LCSWNPI 1972082303
Title
Therapist Social Worker
Phone
(719) 425-5026

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

675 Red Cliff Rd
Colorado Springs, CO 80906-4522

Mailing address

675 Red Cliff Rd
Colorado Springs, CO 80906-4522
Phone (719) 425-5026

Other names 1

  • Broadmoor Bluffs Counseling Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1740062967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 RED CLIFF RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064522",
            "telephone_number": "719-425-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 RED CLIFF RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064522",
            "telephone_number": "719-425-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADMOOR BLUFFS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-21",
        "status": "A",
        "authorized_official_last_name": "AEVUM",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "THERAPIST SOCIAL WORKER",
        "authorized_official_telephone_number": "719-425-5026",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadmoor Bluffs Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 23, 2023; 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.