Individual provider Active NPI

Venessa Ellington Alston, LAC, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1740775220
Registry record updated Mar 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09926274 Issued in CO
Practice address
1255 Lake Plaza Dr Ste 100
Colorado Springs, CO 80906-3541
Phone
(719) 434-2768
Fax
(719) 434-2768
NPI assigned
Jun 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0001046 CO
Clinical Social Worker 1041C0700X CSW.09926274 CO Primary

Addresses

Primary practice location

1255 Lake Plaza Dr Ste 100
Colorado Springs, CO 80906-3541

Mailing address

1255 Lake Plaza Dr Ste 100
Colorado Springs, CO 80906-3541
Phone (719) 434-2768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0001046COMDAddiction (Substance Use Disorder) Counselor
CSW.09926274COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alston Counseling Services LLC CurrentSince Mar 13, 2022 Accepting new patients

Locations

1255 Lake Plaza Dr
Ste 100
Colorado Springs, CO 80906
Phone (719) 220-4401

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646438400000",
    "number": "1740775220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 LAKE PLAZA DR STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063541",
            "telephone_number": "719-434-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 LAKE PLAZA DR STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063541",
            "telephone_number": "719-434-2768",
            "fax_number": "719-434-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGTON ALSTON",
        "first_name": "VENESSA",
        "credential": "LAC, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2022-03-05",
        "certification_date": "2022-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001046",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09926274",
            "primary": true
        }
    ],
    "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 Mar 5, 2022; 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.