Individual provider Active NPI

Rachel Ortiz

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1811710957
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09931052 Issued in CO
Practice address
10580 Wrangell Cir
Colorado Springs, CO 80924-5357
Phone
(254) 833-2228
NPI assigned
Nov 6, 2024
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CSW.09931052 CO
Clinical Social Worker 1041C0700X CSW.09931052 CO Primary

Addresses

Primary practice location

10580 Wrangell Cir
Colorado Springs, CO 80924-5357

Mailing address

9235 N Union Blvd Ste 150-361
Colorado Springs, CO 80920-7831
Phone (719) 629-7013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241123000313 CO Practitioner - Clinical Social Worker 2668907981 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Growth-Change-Reflection Counseling and Consulting LLC CurrentSince Nov 11, 2024 Accepting new patients
Monumental Experiences PLLC CurrentSince Nov 11, 2024 Accepting new patients

Locations

1295 Kelly Johnson Blvd
Ste 240
Colorado Springs, CO 80920
Phone (719) 480-8848

6660 Delmonico Dr
Colorado Springs, CO 80919
Phone (402) 730-8234

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1811710957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9235 N UNION BLVD STE 150-361",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207831",
            "telephone_number": "719-629-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10580 WRANGELL CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809245357",
            "telephone_number": "254-833-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "CSW.09931052",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09931052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.