Individual provider Active NPI

Yulissa Colunga, LSW

  • Social Worker
  • Colorado Springs, CO
National Provider Identifier
1760173066
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LSW.0009924048 Issued in CO
Practice address
5373 N Union Blvd Ste 104
Colorado Springs, CO 80918-2073
Phone
(833) 444-8726
Fax
(833) 444-8726
NPI assigned
May 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LSW.0009924048 CO Primary

Addresses

Primary practice location

5373 N Union Blvd Ste 104
Colorado Springs, CO 80918-2073

Mailing address

5373 N Union Blvd Ste 104
Colorado Springs, CO 80918-2073
Phone (833) 444-8726

Other practice location 1

437 Windchime Pl
Colorado Springs, CO 80919-1984
Phone (833) 444-8726

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LSW.0009924048COMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1760173066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5373 N UNION BLVD STE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809182073",
            "telephone_number": "833-444-8726",
            "fax_number": "833-444-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5373 N UNION BLVD STE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809182073",
            "telephone_number": "833-444-8726",
            "fax_number": "833-444-8726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "437 Windchime Pl",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809191984",
            "country_code": "US",
            "telephone_number": "833-444-8726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLUNGA",
        "first_name": "YULISSA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "LSW.0009924048",
            "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 Jul 25, 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.