Abundant Life Community Support Services

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

ABUNDANT LIFE COMMUNITY SUPPORT SERVICES

Practice address

76 S Sierra Madre St.
Suite L
Colorado Springs, CO 80903-3399

Phone

(719) 246-0170

NPI assigned

Aug 9, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Rachel Lassiter, HS-BCP

Title

Ceo

Phone

(719) 246-0170

Specialties & licenses 6

Addresses

Other names 1

• Abundant Life Community Support Services, LLC Other name

Locations

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1790516920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 S SIERRA MADRE ST.",
            "address_2": "SUITE L",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033399",
            "telephone_number": "719-246-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 S SIERRA MADRE ST.",
            "address_2": "SUITE L",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033399",
            "telephone_number": "719-246-0170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1304 N Academy Blvd Ste 104A",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809093318",
            "country_code": "US",
            "telephone_number": "719-597-5110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABUNDANT LIFE COMMUNITY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "LASSITER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-246-0170",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "HS-BCP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abundant Life Community Support Services, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.