Active NPI
Yulissa Colunga, LSW
- Social Worker
- Colorado Springs, CO
National Provider Identifier
1760173066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LSW.0009924048
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LSW.0009924048 | CO | MD | Social 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.