Active NPI
Life Compass Counseling LLC
- Clinical Social Worker
- Canon City, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09923502
- Legal business name
- LIFE COMPASS COUNSELING LLC
- Practice address
- 831 Royal Gorge Blvd
Suite 226
Canon City, CO 81212-6709 - Phone
- (719) 431-9050
- NPI assigned
- Nov 20, 2014
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jennifer Marie Vanhove, LCSW
- Title
- Owner
- Phone
- (719) 431-9050
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW.09923502 | CO | Primary |
Addresses
Primary practice location
831 Royal Gorge Blvd
Suite 226
Canon City, CO 81212-6709
Mailing address
831 Royal Gorge Blvd
Suite 226
Canon City, CO 81212-6709
Phone (719) 431-9050
Other practice location 1
2921 Carlisle Blvd NE Ste 200B
Albuquerque, NM 87110-2868
Phone (505) 916-2131
Other practice location 2
831 Royal Gorge Blvd Ste 226
Canon City, CO 81212-6709
Phone (719) 431-9050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12774090 | Other | CAQH | |
| 16976223 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
831 Royal Gorge Blvd
Ste 226
Canon City, CO 81212
Phone (303) 801-8366
2921 Carlisle Blvd NE
Ste 118
Albuquerque, NM 87110
Phone (505) 916-2131
2921 Carlisle Blvd NE
Ste 200B
Albuquerque, NM 87110
Phone (505) 916-2131
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.
-
- Clinical Social Worker
- Canon City, CO
- NPI 1538487053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1750788758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 ROYAL GORGE BLVD",
"address_2": "SUITE 226",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812126709",
"telephone_number": "719-431-9050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 ROYAL GORGE BLVD",
"address_2": "SUITE 226",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812126709",
"telephone_number": "719-431-9050"
}
],
"practiceLocations": [
{
"address_1": "2921 Carlisle Blvd NE Ste 200B",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871102868",
"country_code": "US",
"telephone_number": "505-916-2131",
"fax_number": "720-707-0430",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "831 Royal Gorge Blvd Ste 226",
"address_purpose": "LOCATION",
"city": "Canon City",
"state": "CO",
"postal_code": "812126709",
"country_code": "US",
"telephone_number": "719-431-9050",
"fax_number": "720-707-0430",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LIFE COMPASS COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-20",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "VANHOVE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "719-431-9050",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09923502",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12774090",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16976223",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canon City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.